Jill O'Lena, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

103405-30 Issued in WI

Practice address

N74W12501 Leatherwood CT
Menomonee Falls, WI 53051-4490

Phone

(414) 777-1206

NPI assigned

Apr 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Penny Jill O'Lena Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1780326702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 CELTIC CT",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530279711",
            "telephone_number": "414-640-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490",
            "telephone_number": "414-777-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LENA",
        "first_name": "JILL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "WI",
            "license": "103405-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "O'LENA",
            "middle_name": "JILL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northland Hearing Centers, Inc.
• NSH Menomonee LLC
• Colin Patrick O'Brien, DPT
• Neil Francis O'Brien, PTA
• Patrick L O'Hearn, OT
• Kerry M O'Mahar, PHD
• Diane Marie Oddis, RPH
• Jinny Oh, D.O.
• Mayowa Olalekan, MD
• Nicole Marie Olenchek, PT

• Diabetes Educator Registered Nurse in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Diabetes Educator Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.