Active NPI
Eva Odell
- Other Technician
- Battle Ground, WA
National Provider Identifier
1194965046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- WA#MA0006933
- Practice address
- 15 NW 20TH Ave
Battle Ground, WA 98604-4226 - Phone
- (360) 931-1656
- NPI assigned
- Mar 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | WA#MA0006933 | WA | Primary |
Addresses
Primary practice location
15 NW 20TH Ave
Battle Ground, WA 98604-4226
Mailing address
7409 NE 144TH Ave
Vancouver, WA 98682-5028
Phone (360) 931-1656
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
| License | State | Type | Specialty |
|---|---|---|---|
| WA#MA0006933 | WA | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Battle Ground Chiropratic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Battle Ground, WA
- NPI 1982886461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1194965046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7409 NE 144TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986825028",
"telephone_number": "360-931-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 NW 20TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044226",
"telephone_number": "360-931-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "EVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "WA",
"license": "WA#MA0006933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.