Elizabeth Rose Oden, STUDENT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2255A2300X Issued in VA

Practice address

1501 Lakeside Dr
Box 5082
Lynchburg, VA 24501-3113

Phone

(703) 229-3123

NPI assigned

Jan 20, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1336506526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N HARRISON ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071561",
            "telephone_number": "703-229-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LAKESIDE DR",
            "address_2": "BOX 5082",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245013113",
            "telephone_number": "703-229-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEN",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "2255A2300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakwood Radiotherapy PLLC
• Jerry Agbaeze Obi
• Aanuoluwapo Obisesan, MD
• Olufunmilayo Halimat Obisesan, MD, MPH
• Folashade O Odedina, NP
• Benjamin Jason Offereins
• Traci Michele Ogbu, M.D., M.P.H.
• Christine E Oglesby, LPC, LMFT
• Siobhan Oguntimehin, LMFT
• Olubukola Ojuola, M.D.

• Student in an Organized Health Care Education/Training Program in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.