Chelsea O'Dell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

322032 Issued in NY

Practice address

3 Charles St
Ellenville, NY 12428-2303

Phone

(845) 647-4502

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1497233720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "MOUNTAIN DALE",
            "state": "NY",
            "postal_code": "127630414",
            "telephone_number": "845-699-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHARLES ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124282303",
            "telephone_number": "845-647-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "CHELSEA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "322032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BT60126Z",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vida Ann Nathanson, LCSW
• Laura Marie Nelson
• Maria Nemelivsky, DDS
• New York Direct Medical PLLC
• Vera Nadia Nowakiwskyj, M.D.
• Corey O'Halloran
• Pamela Otti, MD
• Jessica Ourso
• Shivkumar Patel, MD
• Parthkumar V. Pathak, PT

• Licensed Practical Nurse in Ellenville, NY
• Providers in Ellenville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.