Individual provider Active NPI

Vanessa Odriozola, FNP-BC

  • Family Nurse Practitioner
  • Orange City, FL
National Provider Identifier
1194298927
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000896 Issued in FL
Practice address
2884 Wellness Ave Ste 100
Orange City, FL 32763-8427
Phone
(386) 668-2221
NPI assigned
Jan 3, 2019
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000896 FL Primary

Addresses

Primary practice location

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427

Mailing address

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427
Phone (386) 668-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190924002854 FL Practitioner - Nurse Practitioner 1355671926 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HN Ucc LLC CurrentSince Jul 3, 2021 Accepting new patients
Cardiovascular Institute of Orlando, PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

3048 S Atlantic Ave
Daytona Beach Shores, FL 32118
Phone (386) 457-8758

2090 Saxon Blvd
Deltona, FL 32725
Phone (386) 845-5452

1111 S Semoran Blvd
Ste A
Orlando, FL 32807
Phone (321) 695-3200

775 W Granada Blvd
Ste 102
Ormond Beach, FL 32174
Phone (386) 672-4615

5440 S Williamson Blvd
Port Orange, FL 32128
Phone (386) 845-5451

Interoperability endpoints

  • Direct secure messaging: vanessa.odriozola.1@14940.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1194298927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638427",
            "telephone_number": "386-668-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638427",
            "telephone_number": "386-668-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODRIOZOLA",
        "first_name": "VANESSA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.