Gabriel Otanoigbe Odekhain, MASTER OF HEALTH SER

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

1401104816 Issued in VA

Practice address

1316 28TH St
Newport News, VA 23607-4218

Phone

(804) 304-6175

NPI assigned

Oct 12, 2015

Sex

Male

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1366813784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 28TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074218",
            "telephone_number": "804-304-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 28TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074218",
            "telephone_number": "804-304-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEKHAIN",
        "first_name": "GABRIEL",
        "middle_name": "OTANOIGBE",
        "name_prefix": "Mr.",
        "credential": "MASTER OF HEALTH SER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "1401104816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Evelyn Ocasio Harris, NP
• Occupational Health Centers of the Southwest P.a.
• Caroline Adhiambo Choka Ochieng, FNP
• Timothy Andrew Oconnell, M.D.
• Lisa Odabasi, MD
• Jacqueline Odhiambo, CRNA
• Odyssey Community Services Inc
• Uchenna Ofodile
• Priscilla Claire Ogden, LPC, NCC
• Sylvia Ann Ogden, RN CDCES

• Nurse's Aide in Newport News, VA
• Providers in Newport News, VA by specialty
• Nurse's Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.