Active NPI
Ilona O'Driscoll
- Home Health Registered Nurse
- New Berlin, WI
National Provider Identifier
1487809802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 120057-030
- Practice address
- 6275 So. Baas Dr.
New Berlin, WI 53146-5504 - Phone
- (262) 679-4846
- NPI assigned
- Nov 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 120057-030 | WI | Primary |
Addresses
Primary practice location
6275 So. Baas Dr.
New Berlin, WI 53146-5504
Mailing address
6275 S Baas Dr
New Berlin, WI 53146-5504
Phone (262) 679-4846
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120057-030 | WI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1487809802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6275 S BAAS DR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531465504",
"telephone_number": "262-679-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6275 SO. BAAS DR.",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531465504",
"telephone_number": "262-679-4846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DRISCOLL",
"first_name": "ILONA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "120057-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Berlin, WI
- April Noonan, RPH
- North Haven Chiropractic Co LLC Dba Health by Hands Chiropractic
- Evan Norum, D.C.
- Alexander Nwachukwu, R.N
- Michael Oliver Nyhart, MSW
- Magdalena Oberschlake, PHARMD
- Ifeoma O Obi, RN
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.