Andrea Marie O'Daniel, M.D.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

0101243353 Issued in VA

Practice address

1625 N George Mason Dr
Suite#494
Arlington, VA 22205-3683

Phone

(703) 717-4090

Fax

(703) 717-4091

NPI assigned

Apr 25, 2008

Last updated

Jul 29, 2009By the provider in NPPES

Sex

Female

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

Doctor of Medicine

State licenses

Practice roles

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.

• Virginia Pediatric and Adolescent Medicine

  • Pediatrics Physician
  • Arlington, VA
  • NPI 1376733782
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1619142163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 POOKS HILL RD",
            "address_2": "APT#1529N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142052",
            "telephone_number": "240-381-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR",
            "address_2": "SUITE#494",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053683",
            "telephone_number": "703-717-4090",
            "fax_number": "703-717-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DANIEL",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "VA",
            "license": "0101243353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin J O Hara, MD
• Hayley O'Brien, M.A
• Wendy O'Brien, P.T.
• Eileen O'Casey, MS OTR/L
• Michael James O'Connor, PT MS, DPT
• Alicia O'Donnell, M.M.P., C.M.T.
• Karen Marie O'Keefe, MSW
• Carson Taylor O'Leary
• Jacqueline O'Neil
• Maureen O'Regan, M.D.

• Community Health Worker in Arlington, VA
• Providers in Arlington, VA by specialty
• Community Health Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.