Individual provider Active NPI

Victoria O Omondi, RN,MSN

  • School Registered Nurse
  • Arlington, TX
National Provider Identifier
1477017887
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
757453 Issued in TX
Practice address
6806 Lake Jackson Dr
Arlington, TX 76002-4050
Phone
(817) 793-1048
NPI assigned
Jan 30, 2019
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 757453 TX
School Registered Nurse 163WS0200X 757453 TX Primary

Addresses

Primary practice location

6806 Lake Jackson Dr
Arlington, TX 76002-4050

Mailing address

6806 Lake Jackson Dr
Arlington, TX 76002-4050
Phone (817) 793-1048

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
757453TXMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1477017887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 LAKE JACKSON DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024050",
            "telephone_number": "817-793-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6806 LAKE JACKSON DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024050",
            "telephone_number": "817-793-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMONDI",
        "first_name": "VICTORIA",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "757453",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "TX",
            "license": "757453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.