Redemptor K Omariba

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP139155 Issued in TX

Practice address

2809 Terrace Dr
McKinney, TX 75071-2599

Phone

(201) 284-9821

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Physiatry Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
  • NPI 1316078769
  Medicare reassignment NPD

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1831677616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 TERRACE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712599",
            "telephone_number": "201-284-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 TERRACE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712599",
            "telephone_number": "201-284-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMARIBA",
        "first_name": "REDEMPTOR",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "883020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Olliges
• Omolara Oloye Adelusi, PMHNP
• Christopher Ryan Olson, LPC
• Elizabeth Olson, MS, CCC-SLP
• Olympic Crossing Dental
• Omega Heights Family Medicine Clinic PLLC
• Omni MMT, LLC
• Omni Neuro Diagnostics
• Omni Spine Pain Management, PLLC
• Omnicare Dental Associates, P. a.

• Family Nurse Practitioner in McKinney, TX
• Providers in McKinney, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.