Active NPI
Cheryl Omara, NP
- Nurse Practitioner
- Rochester Hills, MI
National Provider Identifier
1689869109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704195181
- Practice address
- 1460 Walton Blvd
Suite 200
Rochester Hills, MI 48309-1768 - Phone
- (248) 650-1800
- Fax
- (248) 650-1856
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704195181 | MI | Primary |
Addresses
Primary practice location
1460 Walton Blvd
Suite 200
Rochester Hills, MI 48309-1768
Mailing address
1460 Walton Blvd
Suite 200
Rochester Hills, MI 48309-1768
Phone (248) 650-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Kidney Consultants, P.C. | Past | Accepting new patients |
Interoperability endpoints
- comara407719@direct.hfhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Sterling Heights, MI
- NPI 1831130723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232928000000",
"number": "1689869109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 WALTON BLVD",
"address_2": "SUITE 200",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483091768",
"telephone_number": "248-650-1800",
"fax_number": "248-650-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 WALTON BLVD",
"address_2": "SUITE 200",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483091768",
"telephone_number": "248-650-1800",
"fax_number": "248-650-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMARA",
"first_name": "CHERYL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2009-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704195181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.