Individual provider Active NPI

Rachael D Odey, LPN

  • Licensed Practical Nurse
  • Bucyrus, OH
National Provider Identifier
1013520303
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
142800 Issued in OH
Practice address
210 N Walnut St
Bucyrus, OH 44820-1834
Phone
(419) 617-6002
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 142800 OH Primary

Addresses

Primary practice location

210 N Walnut St
Bucyrus, OH 44820-1834

Mailing address

737 Bank St
Lodi, OH 44254-1025

Other identifiers 1

IdentifierTypeStateIssuer
142800OtherOHLICENSE

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
142800OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A New Day Lodi, LLC CurrentSince Aug 11, 2024 Accepting new patients
A New Day Lodi, LLC PastSince Aug 30, 2020 Accepting new patients

Locations

737 Bank St
Lodi, OH 44254
Phone (330) 636-1741

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1013520303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 BANK ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WALNUT ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201834",
            "telephone_number": "419-617-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEY",
        "first_name": "RACHAEL",
        "middle_name": "D",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "142800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "142800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.