Individual provider Active NPI

Alexandra Odocha, ARNP

  • Adult Health Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1356500771
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9235073 Issued in FL
Practice address
605 NE 1St St
Gainesville, FL 32601-3339
Phone
(352) 371-3212
Fax
(352) 371-3213
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9235073 FL Primary

Addresses

Primary practice location

605 NE 1St St
Gainesville, FL 32601-3339

Mailing address

605 NE 1St St
Gainesville, FL 32601-3339
Phone (352) 371-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000273 FL Practitioner - Nurse Practitioner 6305031170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innocent Odocha MD PAGroup PAC ID 6204961741, 4 clinicians

Practice addresses (Care Compare)

605 NE 1St St
Gainesville, FL 32601-3339
Phone (352) 371-3212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innocent Odocha MD PA CurrentSince Sep 27, 2010 Accepting new patients

Locations

605 NE 1st St
Gainesville, FL 32601
Phone (352) 334-0955

Interoperability endpoints

  • Direct secure messaging: aodocha@pci.gwaydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1356500771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 NE 1ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013339",
            "telephone_number": "352-371-3212",
            "fax_number": "352-371-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NE 1ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013339",
            "telephone_number": "352-371-3212",
            "fax_number": "352-371-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOCHA",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9235073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.