Orathay Kommavang, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22143430 Issued in WI

Practice address

118 Rosemary Ave
Madison, WI 53714-1840

Phone

(608) 235-1187

NPI assigned

Apr 21, 2015

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1952798696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ROSEMARY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141840",
            "telephone_number": "608-235-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ROSEMARY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141840",
            "telephone_number": "608-235-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMAVANG",
        "first_name": "ORATHAY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "22143430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raisa Koltun, PHARM.D.
• Michael T. Koltz, MD
• Alexis Ciara Kolz, B.S
• Abhinav Srinivasan Komandur, MD, MPH
• Kavya Kommaraju, MD
• Gabrielle Louise Komprood
• Mounica Konjeti, MD
• Erika Konkel, BA
• Douglas J Konkol, CRNA
• Jonathan Michael Konkol, RPH

• Registered Nurse in Madison, WI
• Providers in Madison, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.