Jackline Emeldah Onono, CNA
Individual provider Active NPI Nurse's Aide · Larned, KS
NPI 1891506010 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1891506010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 256706 (KS)
- Practice address
- 1301 KS-264
Larned, KS 67550 - Phone
- (620) 285-2131
- NPI assigned
- Jan 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256706 | KS | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 256706 | KS | Yes |
Addresses
Primary practice location
1301 KS-264
Larned, KS 67550
Mailing address
2754 S Cypress St # 2754
Wichita, KS 67210-2475
Phone (316) 550-7374
Other providers in Larned, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.