Individual provider Active NPI

Jackie S O'Donnell, CFNP

  • Emergency Medicine Physician
  • Front Royal, VA
National Provider Identifier
1306897194
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0024164990 Issued in VA
Practice address
1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone
(540) 636-0291
NPI assigned
May 15, 2006
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0024164990 VA Primary

Addresses

Primary practice location

1000 N Shenandoah Ave
Front Royal, VA 22630-3547

Mailing address

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Emergency Medicine Current Accepting new patients
Bestpractices, Inc. Emergency Medicine Past Accepting new patients

Locations

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Organizations & group practices 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1306897194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303547",
            "telephone_number": "540-636-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303547",
            "telephone_number": "540-636-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "JACKIE",
        "middle_name": "S",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0024164990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.