Active NPI
Martha Dobbins-Odegard, ARNP
- Adult Health Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30004140
- Practice address
- 105 W 8TH Ave
Suite 550 E
Spokane, WA 99204-2302 - Phone
- (509) 474-5059
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 60226 | MT | |
| Adult Health Nurse Practitioner | 363LA2200X | AP30004140 | WA | Primary |
Addresses
Primary practice location
105 W 8TH Ave
Suite 550 E
Spokane, WA 99204-2302
Mailing address
105 W 8TH Ave
Suite 550 E
Spokane, WA 99204-2302
Phone (509) 474-5059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301349 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Washington School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 Washington Ave S
Kent, WA 98032-5709
Phone (253) 833-7444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60226 | MT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Valley Cities Counseling and Consultation | Current | Accepting new patients |
Locations
2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
325 W Gowe St
Kent, WA 98032
505 Washington Ave S
Kent, WA 98032
Phone (253) 652-7294
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
101 W 8th Ave
Ste 100
Spokane, WA 99204
Phone (509) 474-2880
105 W 8th Ave
Ste 450E
Spokane, WA 99204
Phone (509) 474-6920
910 N Washington St
Ste 209
Spokane, WA 99201
Phone (509) 232-1192
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Kent, WA
- NPI 1972668853
-
dba Providence Medical Group
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
dba Providence North East Washington Medical Group
- Family Medicine Physician
- Colville, WA
- NPI 1083968879
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1447361019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W 8TH AVE",
"address_2": "SUITE 550 E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042302",
"telephone_number": "509-474-5059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 8TH AVE",
"address_2": "SUITE 550 E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042302",
"telephone_number": "509-474-5059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBINS-ODEGARD",
"first_name": "MARTHA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MT",
"license": "60226",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30004140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4301349",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.