Provider Demographics
NPI:1497555783
Name:OMNI HEALTH, SHATIKA JAMES, DNP, NP IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:OMNI HEALTH, SHATIKA JAMES, DNP, NP IN FAMILY HEALTH PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHATIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:646-234-8036
Mailing Address - Street 1:355 OLD TARRYTOWN RD APT 608
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-5623
Mailing Address - Country:US
Mailing Address - Phone:646-234-8036
Mailing Address - Fax:801-797-0216
Practice Address - Street 1:355 OLD TARRYTOWN RD APT 608
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-5623
Practice Address - Country:US
Practice Address - Phone:646-234-8036
Practice Address - Fax:801-797-0216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-15
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty