Individual provider Active NPI

Caroline Nyaboke Ombuna, FNP-C

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1902558893
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
269050 Issued in AZ
Practice address
831 S Cotton LN # F7-8
Goodyear, AZ 85338-4637
Phone
(480) 677-8282
Fax
(888) 316-1686
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 269050 AZ Primary
Hematology (Internal Medicine) Physician 207RH0000X RNP269050 AZ

Addresses

Primary practice location

831 S Cotton LN # F7-8
Goodyear, AZ 85338-4637

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other identifiers 1

IdentifierTypeStateIssuer
107782MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20220221002339 AZ Practitioner - Nurse Practitioner 9335533157 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

831 S Cotton LN
Suite F7 8
Goodyear, AZ 85338-4637
Phone (480) 677-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP269050AZMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onkar S Bhowra MD PC Hematology CurrentSince Jan 1, 2025 Accepting new patients
City of Hope Medical Group of Arizona LLC Nurse Practitioner CurrentSince Feb 21, 2022 Accepting new patients
Good Health Medical, PLLC CurrentSince Oct 12, 2025 Accepting new patients
Phoenix Health Practitioners LLC CurrentSince Oct 1, 2023 Accepting new patients
Jarullah Investments, Inc Family CurrentSince Jun 1, 2025 Accepting new patients
Good Health Medical, PLLC CurrentSince Oct 12, 2025 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Livn, P.C. Past Accepting new patients
Good Health Medical, PLLC Past Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

831 S Cotton Ln
Ste F78
Goodyear, AZ 85338

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

11320 W Tangerine Rd
Ste 101
Marana, AZ 85653
Phone (880) 677-8282

7440 W Cactus Rd
Ste A19
Peoria, AZ 85381
Phone (480) 307-7275

4222 N 12th St
Ste 200
Phoenix, AZ 85014
Phone (602) 795-9223

3104 E Indian School Rd
Ste 100
Phoenix, AZ 85016
Phone (602) 266-0266

4222 N 12th St
Phoenix, AZ 85014
Phone (480) 714-5100

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

16561 N Parkview Pl
Surprise, AZ 85374
Phone (602) 550-4071

14973 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 815-2900

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: caroline.ombuna.1@29324.direct.athenahealth.com
  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1902558893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 S COTTON LN # F7-8",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384637",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMBUNA",
        "first_name": "CAROLINE",
        "middle_name": "NYABOKE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "269050",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "AZ",
            "license": "RNP269050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107782",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.