Terina Donegan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043.108171 Issued in IL

Practice address

1489 Freeland Ave
Calumet City, IL 60409-6251

Phone

(708) 730-9415

NPI assigned

Nov 13, 2009

Last updated

Nov 13, 2009By the provider in NPPES

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

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1407183338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 FREELAND AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604096251",
            "telephone_number": "708-730-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 FREELAND AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604096251",
            "telephone_number": "708-730-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONEGAN",
        "first_name": "TERINA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.108171",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27063343A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Medical Equipment Supply Company (Divine Transit Inc)
• Divine Medical Equipment Supply Company (Divine Home Care Services)
• Divine Medical Equipment Supply Company
• Divine Medical Equipment Supply Company (Divine Home Care Services)
• Dolton School District 149
• Dorothy M Jones MD Chartered
• Lindsay Dowdy, RBT
• Dr Chaiken & Assoc. Dentist, LTD
• Jorri Lynn Duncan, M.S.
• E & R Senior Care

• Licensed Practical Nurse in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.