Individual provider Active NPI

Linda Blanche Odonnell, RN

  • Registered Nurse
  • Greenville, SC
National Provider Identifier
1396334629
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
233628 Issued in SC
Practice address
202 Cheddington Dr
Greenville, SC 29607-3964
Phone
(207) 329-5380
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 233628 SC Primary

Addresses

Primary practice location

202 Cheddington Dr
Greenville, SC 29607-3964

Mailing address

202 Cheddington Dr
Greenville, SC 29607-3964
Phone (207) 329-5380

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Greenville

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
233628SCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1396334629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CHEDDINGTON DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073964",
            "telephone_number": "207-329-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHEDDINGTON DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073964",
            "telephone_number": "207-329-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONNELL",
        "first_name": "LINDA",
        "middle_name": "BLANCHE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "233628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "address_1": "202 Cheddington Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296073964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.