Active NPI
Eileen O'Malley, LPN
- Licensed Practical Nurse
- Egg Harbor, WI
National Provider Identifier
1598082653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 26165-031
- Practice address
- 4635 Hillside Rd
Egg Harbor, WI 54209-8910 - Phone
- (920) 868-2540
- NPI assigned
- Apr 29, 2010
- Last updated
- Jun 21, 2010
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 26165-031 | WI | Primary |
Addresses
Primary practice location
4635 Hillside Rd
Egg Harbor, WI 54209-8910
Mailing address
4635 Hillside Rd
Egg Harbor, WI 54209-8910
Phone (920) 868-2540
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 |
|---|---|---|---|
| 26165-031 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1598082653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4635 HILLSIDE RD",
"city": "EGG HARBOR",
"state": "WI",
"postal_code": "542098910",
"telephone_number": "920-868-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4635 HILLSIDE RD",
"city": "EGG HARBOR",
"state": "WI",
"postal_code": "542098910",
"telephone_number": "920-868-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "EILEEN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-29",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "26165-031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Egg Harbor, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.