Active NPI
Valosha Ashleigh Odom, MBA
- Nursing Care Agency
- Jamestown, NC
National Provider Identifier
1417550716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- N95779
- Practice address
- 105 Brantmere CT
Jamestown, NC 27282-8404 - Phone
- (336) 554-3092
- NPI assigned
- Nov 18, 2020
- Last updated
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | N95779 | NC | Primary |
Addresses
Primary practice location
105 Brantmere CT
Jamestown, NC 27282-8404
Mailing address
PO Box 1273
Jamestown, NC 27282-1273
Phone (773) 828-9083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5779 | Other | NC | NURSING POOL LICENSE |
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)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N95779 | NC | MD | Nursing Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashlen Enterprises, LLC | Nursing Care | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ashlen Staffing Solutions
- Nursing Care Agency
- Jamestown, NC
- NPI 1417550757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1417550716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1273",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272821273",
"telephone_number": "773-828-9083",
"fax_number": "336-203-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BRANTMERE CT",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828404",
"telephone_number": "336-554-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "VALOSHA",
"middle_name": "ASHLEIGH",
"name_prefix": "Ms.",
"credential": "MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "N95779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING POOL LICENSE",
"identifier": "NP5779",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NC
- Michael Qui Nguyen
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #03711)
- Novant Health Medical Group, LLC (Novant Health Parkside Family Medicine)
- Dirk Nuttle, LPCA, LCAS-A, CRC
- Lauren Elizabeth O'Connor, PA-C
- Clara Olaitan Ogunsan, PHARMD
- Parakletos Services Incorporated
- Kenneth R. Pataky, MS, LCMHC, LMHC
- Donald P. Patterson, PH.D.
- Jesse Perry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.