Lizabeth Ann O'Dea, RN

Primary specialty

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

License

490794-1 Issued in NY

Practice address

16 Wedgewood Rd
Fishkill, NY 12524-1432

Phone

(845) 897-6800

NPI assigned

Nov 28, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Wappingers Central School District

  • Health Educator
  • Fishkill, NY
  • NPI 1043504640
  NPD (past)

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1396012860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WEDGEWOOD RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241498",
            "telephone_number": "845-897-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WEDGEWOOD RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241432",
            "telephone_number": "845-897-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DEA",
        "first_name": "LIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "490794-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14001997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nuvance Health Medical Practice, PC
• Nuvance Health Medical Practice, PC
• Nyconn Orthopaedic & Rehabilitation Specialists
• Alison Susan Nydick Haller, LCSW
• Brianna Lynn O'Connor, COTA
• Chinasa Okon
• Optical Fashions Corp
• Optum Medical Care, P.C.
• Optum Medical Care, P.C.
• Dorothy Page, MBBS

• Student in an Organized Health Care Education/Training Program in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.