Georgia Ann Evans O'Donoghue, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN188450 Issued in CA

Practice address

1120 S Dora St
Ukiah, CA 95482-6340

Phone

(707) 472-2722

Fax

(707) 472-2714

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497812200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 JONES ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825412",
            "telephone_number": "707-472-2700",
            "fax_number": "707-472-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826340",
            "telephone_number": "707-472-2722",
            "fax_number": "707-472-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONOGHUE",
        "first_name": "GEORGIA",
        "middle_name": "ANN EVANS",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN188450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Nunez, LCSW
• James Nuovo, M.D.
• Elliot O'Bryant
• Terese O'Connell, R.D.N., I.B.C.L.C.
• Dennis M. O'Connor, TBS
• Noel L O'Neill, MFC
• Observatory Surgery Center LLC.
• Christina Offill, LCSW
• Kisoo Oh, PHARM D
• Daniel Ojala, DO

• Licensed Vocational Nurse in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.