Individual provider Active NPI

Louella J. Ondo, CRNP

  • Family Nurse Practitioner
  • Home, PA
National Provider Identifier
1962485367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
VP005626W Issued in PA
Practice address
619 Tanoma Rd
Home, PA 15747-9019
Phone
(724) 349-7519
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VP005626WPAMDFamily Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X VP005626W PA Primary

Addresses

NPPES NPI Registry

Primary practice location

619 Tanoma Rd
Home, PA 15747-9019

Mailing address

619 Tanoma Rd
Home, PA 15747-9019
Phone (724) 349-7519

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962485367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 TANOMA RD",
            "city": "HOME",
            "state": "PA",
            "postal_code": "157479019",
            "telephone_number": "724-349-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 TANOMA RD",
            "city": "HOME",
            "state": "PA",
            "postal_code": "157479019",
            "telephone_number": "724-349-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDO",
        "first_name": "LOUELLA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP005626W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Home, PA

Sources for this page

  • 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.