Individual provider Active NPI

Alice Odell, DNP, MPH, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1194263020
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342663 Issued in NY
Practice address
349 E 149TH St FL 3
Bronx, NY 10451-5603
Phone
(914) 774-5861
NPI assigned
Feb 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 659458-1 NY
Family Nurse Practitioner 363LF0000X 342663 NY Primary

Addresses

Primary practice location

349 E 149TH St FL 3
Bronx, NY 10451-5603

Mailing address

349 E 149TH St FL 3
Bronx, NY 10451-5603
Phone (646) 634-1517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20201119002358 NY Practitioner - Nurse Practitioner 8729499967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Planned Parenthood of Greater New York IncGroup PAC ID 7810293297, 34 clinicians

Practice addresses (Care Compare)

349 E 149TH St
FL 2
Bronx, NY 10451-5603
Phone (212) 965-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
659458-1NYMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater New York Inc CurrentSince Jul 25, 2020 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients

Locations

349 E 149th St
Fl 2
Bronx, NY 10451
Phone (212) 965-4826

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

540 Fulton Ave
Hempstead, NY 11550
Phone (516) 750-2600

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

35 Carmans Rd
Massapequa, NY 11758

26 Bleecker St
Prince, NY 10012
Phone (212) 274-7226

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

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": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1194263020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E 149TH ST FL 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515603",
            "telephone_number": "646-634-1517",
            "fax_number": "718-665-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E 149TH ST FL 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515603",
            "telephone_number": "914-774-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "DNP, MPH, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "659458-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.