Gaelle Thiam Dwomoh, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277.003229 Issued in IL

Practice address

101 N Marion St Ste 203
Oak Park, IL 60301-1023

Phone

(312) 713-3133

Fax

(312) 910-8971

NPI assigned

Aug 10, 2021

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

Other names 1

• Gaelle Thiam Houmgny Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Affection Wound Care

  • Nurse Practitioner
  • Oak Park, IL
  • NPI 1932945284

  IL

  Medicare reassignment NPD Authorized official
• Livestrong Therapy LLC

  • Physical Therapist
  • Homer Glen, IL
  • NPI 1376178962

  IL

  Medicare reassignment NPD
• New Southtown Medical Group S C

  • Family Medicine Physician
  • Darien, IL
  • NPI 1134508997

  IL

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• Affection Home Care LLC

  • In Home Supportive Care Agency
  • Oak Park, IL
  • NPI 1104662451
  NPD Authorized official
• HCR Manorcare Medical Services of Florida LLC

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420
  NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1831864099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MARION ST STE 203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011023",
            "telephone_number": "312-714-3133",
            "fax_number": "312-910-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MARION ST STE 203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011023",
            "telephone_number": "312-713-3133",
            "fax_number": "312-910-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWOMOH",
        "first_name": "GAELLE",
        "middle_name": "THIAM",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.003229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAELLE",
            "last_name": "HOUMGNY",
            "middle_name": "THIAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candace Durham
• Edward Durkin, DN
• Ryan Durkin
• Sumia Dutia, APNP
• Ann Dvoretsky
• Dynamic Lynks, Inc.
• Dynamic Physical Therapy, Inc.
• Maia Marie Easley, LMFT
• Eastlake Chiropractic & Healthcare Center
• Jacquelyn Eckholm, L.AC.

• All providers in Oak Park, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.