Kathleen Omerod, APN CCNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

209001704 Issued in IL

Practice address

120 Spalding Dr Ste 205
Naperville, IL 60540-6527

Phone

(630) 646-6022

Fax

(630) 527-6400

NPI assigned

Jul 5, 2012

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

Other names 1

• Kathleen M Farley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1477818557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SPALDING DR STE 205",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406527",
            "telephone_number": "630-646-6022",
            "fax_number": "630-527-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMEROD",
        "first_name": "KATHLEEN",
        "credential": "APN CCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209001704",
            "primary": true
        },
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "IL",
            "license": "209001704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "FARLEY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher G Olson, MD
• Kiya Olson, MA & M.S.
• Heather Michelle Olsson, MA, LCPC
• Curtis Omana, RBT
• Jeremy A. Omerod, LCPC
• Omni Care Consulting Services PLLC
• Chinenye Joy Onakorame, APRN, PMHNP BC
• Jeanne Marie Ondyak, CNP
• One Stop Medical Supply Corp
• Connie L Onik, D. M. D.

• Clinical Nurse Specialist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.