Rose Ngozi Odimegwu, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN211849 Issued in MA

Practice address

1200 Brush Hill Rd
Milton, MA 02186-2337

Phone

(617) 913-3340

NPI assigned

May 1, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rodimegwu662983@direct.ochin.org
• Direct secure messaging: rodimegwu11556@direct.bmc.masshiway.net

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

• Pinnacle Healthcare Services LLC

  dba Pinnacle Healthcare Services

  • Gerontology Nurse Practitioner
  • Braintree, MA
  • NPI 1942635339
  Medicare reassignment NPD
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1154542652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BROOKSIDE DR",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463148",
            "telephone_number": "781-510-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRUSH HILL RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862337",
            "telephone_number": "617-913-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIMEGWU",
        "first_name": "ROSE",
        "middle_name": "NGOZI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "211849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN211849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093957A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Noonan, DPT
• Not Your Average Physio
• Dennis O'Brien, PSY.D.
• Lois M Obeng
• Margaret T Ochs, L.AC
• Theodora Chika Ogamba
• Ama Okey-Igwe, FNP
• Melissa Ann Wagoner Olesen, MA
• Shannon Tess Oliver, CRNA
• Sydney Alyssa Onos, DMD

• Family Nurse Practitioner in Milton, MA
• Providers in Milton, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.