REYNALD OMEGA ARNP NPI 1689083230

NPI Information

NPI: 1689083230
Provider Name: REYNALD OMEGA, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
7481 W OAKLAND PARK BLVD
STE 100
TAMARAC, FL
ZIP 33319
Phone: (954) 771-7743
Get Directions

Reynald Omega, ARNP is a psychiatric/mental health nurse practitioner in Tamarac, FL with 11 years of experience. Reynald Omega, ARNP NPI is 1689083230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: FLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

7481 W OAKLAND PARK BLVD
STE 100
TAMARAC, FL
ZIP 33319-985
Phone: (954) 771-7743
Fax: (954) 771-7748

The NPI 1689083230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2014 and was last updated on 1/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	ARNP9266179	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	53779	NEW MEXICO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2349904	MASSACHUSETTS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP 9266179	FLORIDA	Yes
5	363L00000X	Nurse Practitioner		ARNP9266179	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26NJ00801500	OTHER	NEW JERSEY	NJ LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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