MICHAEL OMOMO (NPI# 1427657139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427657139 |
| Entity Type | Individual |
| Full Name | MICHAEL OMOMO |
| Practice Address |
45 10th St W Saint Paul MN 55102-1062 |
| Mailing Address |
3866 Westbury Dr Eagan MN 55123-2080 |
| Practice Telephone | 6516002567 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7837 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
45 10TH ST W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205471 | Christina L Lester | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2005-06-21 |
| 1669073029 | Babatunde Safiriyu Adams | Clinical Nurse Specialist | 45 10th St W, Saint Paul, MN 55102-1062 | 2020-11-03 |
| 1386273944 | Jayson Robinson | Respiratory Therapist, Registered | 45 10th St W, Saint Paul, MN 55102-1062 | 2020-04-06 |
| 1508490558 | Maureen Valerie Foster | Counselor | 45 10th St W, Saint Paul, MN 55102-1053 | 2020-02-28 |
| 1518599950 | Danielle Davenport | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1053 | 2020-02-04 |
| 1871133694 | Esther Gillispie | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2020-01-09 |
| 1427694926 | Katherine Marie Betzel | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2019-11-20 |
| 1992340194 | Marit Leigh Throntveit | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2019-11-12 |
| 1932742400 | Christina Froehling | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2019-10-28 |
| 1922577931 | Ashlyn Jane Ouse Grindberg | Occupational Therapist | 45 10th St W, Saint Paul, MN 55102-1062 | 2018-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340194 | Marit Leigh Throntveit | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2019-11-12 |
| 1427692060 | Susan Lee Borden | Nurse Practitioner | 1600 University Ave W Ste 12, Saint Paul, MN 55104-3898 | 2019-11-06 |
| 1932742400 | Christina Froehling | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2019-10-28 |
| 1962054437 | Alexandra Pokorny | Nurse Practitioner | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2019-07-15 |
| 1457914160 | Jessica Marion Clark | Nurse Practitioner | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2019-04-18 |
| 1184191116 | Deborah Garrido | Nurse Practitioner | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2018-10-29 |
| 1801346093 | Caroline Kuria | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2016-10-11 |
| 1851845283 | Robert Scott Finn | Nurse Practitioner | 640 Jackson St, Saint Paul, MN 55101-2502 | 2016-08-15 |
| 1205200573 | Anne Wheaton | Nurse Practitioner | 2550 University Ave W, Suite 229n, Saint Paul, MN 55114-1052 | 2015-11-23 |
| 1285078634 | Sandra D Klein-hegge | Nurse Practitioner | 2550 University Ave W, Suite 229n, Saint Paul, MN 55114-1052 | 2013-04-28 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on MICHAEL OMOMO.
| 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.