AMBER LYNN OMIECINSKI (NPI# 1538606488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538606488 |
| Entity Type | Individual |
| Full Name | AMBER LYNN OMIECINSKI |
| Other Name | AMBER LYNN OMIECINSKI |
| Credential | APRN, FNP |
| Practice Address |
901 Grant St Harvard IL 60033-1821 |
| Practice Telephone | 8159435431 |
| Practice Fax Number | 8159430659 |
| Mailing Telephone | 8159435431 |
| Mailing Fax Number | 8159430659 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015351 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S 1st Ave, Maywood, IL 601533328 | 7086169000 |
| Street Address |
901 GRANT ST |
| City | HARVARD |
| State | IL |
| Zip Code | 60033-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609869163 | Victor I Garber | Emergency Medicine | 901 Grant St, Harvard, IL 60033 | 2005-08-30 |
| 1629588660 | Margaret A. Pawlowski | Speech-Language Pathologist | 901 Grant St, Harvard, IL 60033-1821 | 2017-10-04 |
| 1255708475 | Pamela Rees | Occupational Therapist | 901 Grant St, Harvard, IL 60033-1821 | 2015-08-24 |
| 1891161709 | Melissa K Flies | Speech-Language Pathologist | 901 Grant St, Harvard, IL 60033-1821 | 2015-08-14 |
| 1124423645 | Thomas Stephen Olsen | Physical Therapist | 901 Grant St, Harvard, IL 60033-1821 | 2014-10-27 |
| 1306263124 | Pamela Wood | Physical Therapy Assistant | 901 Grant St, Harvard, IL 60033-1821 | 2014-03-19 |
| 1679834709 | Sheila Booc Kafka | Physical Therapist | 901 Grant St, Harvard, IL 60033-1821 | 2012-06-05 |
| 1306157250 | Michele K Moore | Occupational Therapist | 901 Grant St, Harvard, IL 60033-1821 | 2010-06-25 |
| 1871827147 | Sammy T Dean | Anesthesiology | 901 Grant St, Harvard, IL 60033-1821 | 2009-09-18 |
| 1730336322 | Eric Vincent T Miranda | Physical Therapist | 901 Grant St, Harvard, IL 60033-1821 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902962681 | Jon Karl Warnecke | Chiropractor | 30 N Ayer St, Harvard, IL 60033 | 2006-12-28 |
| 1164524336 | Timothy A Chrapkiewicz | Dentist | 604 N Division, Harvard, IL 60033 | 2006-09-01 |
| 1972584423 | Terri Lynne O'malley | Pediatrics | 5615 Irish Lane, Harvard, IL 60033 | 2005-11-10 |
| 1972012060 | Jessica Crowell Bumpus | Nurse Practitioner | 62 N Ayer St, Harvard, IL 60033 | 2017-09-21 |
| 1093944324 | Imran Ali | Optometrist | 313 N Division St, Harvard, IL 60033 | 2009-07-08 |
| 1700392024 | Sandra Lee Knop | Speech-Language Pathologist | 1200 N Jefferson St, Harvard, IL 60033-1730 | 2017-12-21 |
| 1891805081 | James H Sullivan | Emergency Medicine | 901 Grant Street, Harvard, IL 60033-1821 | 2006-08-30 |
| 1356468573 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1001 Grant St, Harvard, IL 60033-1822 | 2007-03-23 |
| 1326329483 | Sharon A Swanson | Dietitian, Registered | 1001 Grant St, Harvard, IL 60033-1822 | 2011-09-02 |
| 1063860658 | Bonnie Hastings | Social Worker | 803 N Division St, Harvard, IL 60033-2223 | 2016-05-24 |
| Find all providers in zip 60033 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972012060 | Jessica Crowell Bumpus | Nurse Practitioner | 62 N Ayer St, Harvard, IL 60033 | 2017-09-21 |
| 1427424696 | Jennifer Buchholz | Nurse Practitioner | 233 Ayer Rd, Harvard, MA 01451-1131 | 2015-08-11 |
| 1730498668 | Rebecca Tam | Nurse Practitioner | 233 Ayer Rd, Harvard, MA 01451-1131 | 2010-09-27 |
| 1265564116 | Anna M Pollock | Nurse Practitioner | 233 Ayer Rd, Harvard, MA 01451-1131 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.