NPIMap

Individual provider Active NPI

Loretta Odro

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1497171334
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
318344 Issued in NC
Practice address
801 Tilden Street
Bronx, NY 10467
Phone
(646) 756-0579
NPI assigned
Mar 17, 2014
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 318344 NC Primary
Family Nurse Practitioner 363LF0000X 5021308 NC
Registered Nurse 163W00000X 682136 NY

Addresses

Primary practice location

801 Tilden Street
Bronx, NY 10467

Mailing address

801 Tilden St
Bronx, NY 10467-6026

Other practice location 1

2301 Robeson St Ste 203
Fayetteville, NC 28305-5641
Phone (910) 615-3220

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429001012 NC Practitioner - Nurse Practitioner 5092231456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2301 Robeson St
Suite 203
Fayetteville, NC 28305-5641
Phone (910) 615-3220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
682136NYMDRegistered Nurse
318344NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 24, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

2301 Robeson St
Ste 203
Fayetteville, NC 28305
Phone (910) 484-4100

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

Interoperability endpoints

  • Direct secure messaging: lodro133501@capefearvalley.direct-ci.com

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1497171334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TILDEN ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104676026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TILDEN STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "646-756-0579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Robeson St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055641",
            "country_code": "US",
            "telephone_number": "910-615-3220",
            "fax_number": "910-486-2170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODRO",
        "first_name": "LORETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "318344",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021308",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "682136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.