Individual provider Active NPI

Francisca Odemelam, DNP, FNP-BC

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1598301970
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012652 Issued in NC
Practice address
316 Heather Ridge CT
Greensboro, NC 27455-8360
Phone
(336) 509-5318
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012652 NC Primary

Addresses

Primary practice location

316 Heather Ridge CT
Greensboro, NC 27455-8360

Mailing address

316 Heather Ridge CT
Greensboro, NC 27455-8360

Other practice location 1

3325 Robinhood Rd
Winston Salem, NC 27106-5403
Phone (336) 765-5361

Other practice location 2

5 Franklinwood Dr
Greensboro, NC 27401-4796
Phone (336) 509-5318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816000535 NC Practitioner - Nurse Practitioner 0143624031 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1598301970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 HEATHER RIDGE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HEATHER RIDGE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558360",
            "telephone_number": "336-509-5318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 Robinhood Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271065403",
            "country_code": "US",
            "telephone_number": "336-765-5361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Franklinwood Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274014796",
            "country_code": "US",
            "telephone_number": "336-509-5318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODEMELAM",
        "first_name": "FRANCISCA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.