Individual provider Active NPI

Kathleen A. Ondus, GCNS, BC

  • Gerontology Clinical Nurse Specialist
  • Lorain, OH
National Provider Identifier
1225017114
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
COA01616-NS Issued in OH
Practice address
1130 Tower Blvd Ste B
Lorain, OH 44052-5200
Phone
(440) 989-4874
Fax
(440) 989-4878
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X COA01616-NS OH Primary

Addresses

Primary practice location

1130 Tower Blvd Ste B
Lorain, OH 44052-5200

Mailing address

1130 Tower Blvd Ste B
Lorain, OH 44052-5200
Phone (440) 989-4874

Other identifiers 1

IdentifierTypeStateIssuer
2570874MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
COA01616-NSOHMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Olmsted Health & Services Corp. Past Accepting new patients

Organizations & group practices 1

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1225017114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TOWER BLVD STE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440525200",
            "telephone_number": "440-989-4874",
            "fax_number": "440-989-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TOWER BLVD STE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440525200",
            "telephone_number": "440-989-4874",
            "fax_number": "440-989-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDUS",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "credential": "GCNS, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OH",
            "license": "COA01616-NS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2570874",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.