Jason Anthony Odhner, RN, CCRN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN160365 Issued in AZ

Practice address

2902 W Clarendon Ave
Phoenix, AZ 85017-4609

Phone

(602) 762-1975

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17515/brand/1/csg/1/fhir/r4

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.

• Phoenix Allies for Community Health

  • Migrant Health Clinic/Center
  • Phoenix, AZ
  • NPI 1669974853
  NPD Authorized official

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1447933114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14079 N 34TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325308",
            "telephone_number": "602-762-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W CLARENDON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174609",
            "telephone_number": "602-762-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODHNER",
        "first_name": "JASON",
        "middle_name": "ANTHONY",
        "credential": "RN, CCRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN160365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Odendahl, COTA/L
• Odero Consultants
• Randy O Odero, MD
• Ryan Andrew Odgers, M.D.
• Elizabeth Clara Odhner, NP
• Grace Odigie
• Odinma Health LLC
• Andrew K Odionu, MD
• Jennifer Odle, FNP
• Adrianna Nellie Odogui

• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.