Mary Odie, RN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5209256 Issued in FL

Practice address

1950 Lee Rd Ste 104
Winter Park, FL 32789-1847

Phone

(407) 956-1870

NPI assigned

Apr 24, 2019

Last updated

Apr 24, 2019By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Integrity Health Services Orlando, LLC

  dba Team Select Home Care

  • Home Health Agency
  • Maitland, FL
  • NPI 1619369089
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1235793308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LEE RD STE 104",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891847",
            "telephone_number": "407-956-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LEE RD STE 104",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891847",
            "telephone_number": "407-956-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIE",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5209256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA NURSING LICENSE",
            "identifier": "PN5209256",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "orlando@integrityhealth.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1950 Lee Rd Ste 104",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327891847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arvindkumar Krishandev Oberai, DDS
• Oceans Medical Group LLC
• Crystal Lashawn Ochako Orandi, APRN
• Natalie Marie Ochoa, M.A., CF-SLP
• Odevelyne Saint-Sauveur Enterprises, LLC (Golden Community Health Services)
• Tameka Shavon Oglesby
• Ohri, LLC (Orlando Health Imaging Centers)
• Ohri, LLC (Orlando Health Imaging Centers)
• Amelia L Okammor
• Anurika Cassandra Okorie

• Licensed Practical Nurse in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.