LINDA WASHINGTON OMONDI (NPI# 1831291830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831291830 |
| Entity Type | Individual |
| Full Name | LINDA WASHINGTON OMONDI |
| Other Name | LINDA WASHINGTON ALFORD |
| Credential | DNP, FNP-BC |
| Practice Address |
601 James R Thompson Blvd Building D, Suite 2015 East Saint Louis IL 62201-1129 |
| Mailing Address |
1001 Hollow Valley Ct Caseyville IL 62232-2838 |
| Practice Telephone | 6184826959 |
| Practice Fax Number | 6184828311 |
| Mailing Telephone | 2292912430 |
| Mailing Fax Number | 6184828311 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209009239 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 098732 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
041397409 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MOLINA HEALTHCARE | QMP000002346601 | 01 |
| IL | HARMONY | 1141601 | 01 |
| IL | CIGNA | 4898034 | 01 |
| IL | WELLCARE | 1141601 | 01 |
| IL | 1831291830 | 05 | |
| IL | HEALTHLINK | B05974 | 01 |
| Street Address |
601 JAMES R THOMPSON BLVD BUILDING D, SUITE 2015 |
| City | EAST SAINT LOUIS |
| State | IL |
| Zip Code | 62201-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649622622 | Chontay L Mckay | Nurse Practitioner | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2016-07-01 |
| 1992153639 | Megan Degroot | Counselor | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2016-06-02 |
| 1104230168 | Board of Trustees of Southern Illinois University | Clinic/Center | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2014-06-18 |
| 1427470368 | Kim Wenona White | Clinical Nurse Specialist | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2014-01-13 |
| 1467753459 | Janet C Whitworth | Nurse Practitioner | 601 James R Thompson Blvd, Bldg D 2015, East Saint Louis, IL 62201-1129 | 2010-11-08 |
| 1518140326 | Southern Illinois University Edwardsville | Clinic/Center | 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 | 2007-12-14 |
| 1215078928 | Theresa M Benassi-powles | Nurse Practitioner | 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 | 2007-02-08 |
| 1205976636 | Virginia L Behrhorst | Nurse Practitioner | 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593724 | Brighter Hope Inc | Clinic/Center | 1400 E. Broadway, East St Louis, IL 62201 | 2019-11-21 |
| 1659759918 | Olde Tyme Optical | Technician/Technologist | 100 N. 8th St E., Suite 264, E. St. Louis, IL 62201 | 2015-05-07 |
| 1689890006 | Carrie Ann Settlemoir | Chiropractor | 699 Rte. 203, Suite 101, E.st.louis, IL 62201 | 2007-04-17 |
| 1659417582 | Brett Irvin | Dentist | 1511 East Broadway, St Louis, IL 62201 | 2007-01-29 |
| 1386700771 | Laura A. Collier | Registered Nurse | 540 North 6th Street, East Saint Louis, IL 62201 | 2006-12-29 |
| 1366508053 | Yetzenia Aramis Arauz | Registered Nurse | 2568 North 41st Street, Fairmont City, IL 62201 | 2006-12-28 |
| 1255426466 | Hee Man Song | Specialist | 100 North 8th Street, Suite 232, East St Louis, IL 62201 | 2006-10-04 |
| 1821109737 | Richard Joseph Fleming | Physical Therapist | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62201 | 2006-08-31 |
| 1942510508 | Southern Illinois Health Care Foundation, Inc. | Family Medicine | 505 S 8th St, East Saint Louis, IL 62201 | 2010-10-18 |
| 1104157437 | United We Trust Home Care | Case Management | 327 Missouri Ave, Suite 300, East Saint Louis, IL 62201 | 2010-01-27 |
| Find all providers in zip 62201 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636475 | Monika Sitko | Nurse Practitioner | 3 E 14th Pl, Lombard, IL 60148-4574 | 2020-10-10 |
| 1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
| 1013521038 | Eziaha R Georgewill | Nurse Practitioner | 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 | 2020-09-08 |
| 1447870274 | 15 Park Place LLC | Nurse Practitioner | 15 Park Pl Ste 1, Swansea, IL 62226-2918 | 2020-04-22 |
| 1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
| 1699315697 | Kelsey L Proehl | Nurse Practitioner | 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 | 2020-01-08 |
| 1992343248 | Maryanne M Smith | Nurse Practitioner | 805 W Deyoung St Ste D, Marion, IL 62959-1602 | 2019-12-17 |
| 1730724451 | Suzana None Nikitovic | Nurse Practitioner | 2815 Regner Rd, Mchenry, IL 60051-6942 | 2019-11-18 |
| 1104461870 | Swanson Family Practice LLC | Nurse Practitioner | 733 N Logan Ave Ste 1, Danville, IL 61832-4378 | 2019-11-16 |
| 1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | EAST SAINT LOUIS |
| Zip Code | 62201 |
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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.