Carol Elizabeth Odinzoff, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

NURR13697 Issued in AK

Practice address

2250 Nash Cir
Anchorage, AK 99508-3789

Phone

(907) 360-7452

Fax

(877) 211-6856

NPI assigned

Jan 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1255192340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NASH CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083789",
            "telephone_number": "907-360-7452",
            "fax_number": "877-211-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NASH CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083789",
            "telephone_number": "907-360-7452",
            "fax_number": "877-211-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODINZOFF",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN61390263",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AK",
            "license": "NURR13697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Luke Bradley Offord

• Case Management Registered Nurse in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Case Management Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.