Roxanne Omoaholo

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

152598 Issued in IA

Practice address

301 Gibson Dr
Roseville, CA 95678-5400

Phone

(607) 592-1611

NPI assigned

Oct 15, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Diamond Village Care Home, LLC

  • Adult Care Home Facility
  • Sacramento, CA
  • NPI 1740864172
  NPD Authorized official
• Tender Care Services

  • Home Health Agency
  • Roseville, CA
  • NPI 1154963742
  NPD Authorized official

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1902448582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 COLUMBUS ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191443",
            "telephone_number": "607-592-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GIBSON DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785400",
            "telephone_number": "607-592-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOAHOLO",
        "first_name": "ROXANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IA",
            "license": "152598",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IA",
            "license": "152598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Olson, LMFT
• Loree A Olson, PT
• Maryel Olson, PA
• Bassil Omary
• Roula Omary
• Chelsea Omoore
• Janelle Onderko
• One Love Care Homes LLC
• Rachel Oney
• Adesoji Onibokun

• Home Health Registered Nurse in Roseville, CA
• Providers in Roseville, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.