Organization Active NPI

Preferred Healthcare Services

  • Family Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1710509153
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PREFERRED HEALTHCARE SERVICES
Practice address
11418 W Rosewood Dr
Avondale, AZ 85392-3421
Phone
(623) 698-8592
NPI assigned
May 8, 2020
Last updated
May 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Caroline Bitutu Omwancha, NP
Title
Owner
Phone
(623) 698-8592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11418 W Rosewood Dr
Avondale, AZ 85392-3421

Mailing address

11418 W Rosewood Dr
Avondale, AZ 85392-3421
Phone (623) 698-8592

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1710509153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11418 W ROSEWOOD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923421",
            "telephone_number": "623-698-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11418 W ROSEWOOD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923421",
            "telephone_number": "623-698-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "OMWANCHA",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "BITUTU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-698-8592",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.