Jenny Elizabeth O'Neil, ATC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

24-00305 Issued in KS

Practice address

2030 E College Way
Olathe, KS 66062-1851

Phone

(913) 780-3750

NPI assigned

Jul 26, 2006

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deer Creek Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1528099207
  NPD
• Midamerica Nazarene University

  • Athletic Trainer
  • Olathe, KS
  • NPI 1174077465
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619990777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E LAYTON DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612819",
            "telephone_number": "913-971-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E COLLEGE WAY",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621851",
            "telephone_number": "913-780-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "JENNY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KS",
            "license": "24-00305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad O'Gara
• Jerrad O'Malley
• Austin O'Neal, BCBA-D
• Linda Kay O'Neal
• Timeka O'Neal, RBT
• Robert Emmett O'Neill, DC
• Adrienne Ann O'Rourke, BA
• Audrey O'Sullivan, PT, DPT
• Maria O'Sullivan, R.N
• Oasis Dentistry, LLC

• Student in an Organized Health Care Education/Training Program in Olathe, KS
• Providers in Olathe, KS by specialty
• Student in an Organized Health Care Education/Training Program in Kansas

• 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.