Odalys Janice Rodriguez Irizarry, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5019536 Issued in NC

Practice address

3000 Old 75 Hwy
Butner, NC 27509-1658

Phone

(919) 575-8000

NPI assigned

Oct 16, 2023

Last updated

Dec 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1033991138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275094500",
            "telephone_number": "919-575-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OLD 75 HWY",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275091658",
            "telephone_number": "919-575-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ IRIZARRY",
        "first_name": "ODALYS",
        "middle_name": "JANICE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F308039-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5019536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Anne Ridgway, M.D.
• Hanna K. Rizk, M.D.
• Victor Rizk
• Laurael Robichaud, PA-C
• Shannon Elizabeth Beavin Robinson, MSW, LCSW
• Kari Melissa Roller, BSN, RN
• Ophelia Celeste Rosales, MSW, LCSWA
• Terra Rose, PSY.D.
• Linda Lee Rubin, FNP
• Angela Ruggiero, MSW, LCSW-A

• Adult Health Nurse Practitioner in Butner, NC
• Providers in Butner, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; 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.