Ashley Odom, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61140546 Issued in WA

Practice address

12932 Hazelwood Dr
Nokesville, VA 20181-2505

Phone

(540) 392-8021

NPI assigned

May 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1619551900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12932 HAZELWOOD DR",
            "city": "NOKESVILLE",
            "state": "VA",
            "postal_code": "201812505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12932 HAZELWOOD DR",
            "city": "NOKESVILLE",
            "state": "VA",
            "postal_code": "201812505",
            "telephone_number": "540-392-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "ASHLEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61140546",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WA",
            "license": "RN61140546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Url",
            "affiliation": "N",
            "address_1": "12932 Hazelwood Dr",
            "city": "Nokesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201812505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolyn Elizabeth Johnson, M.ED.,CCC-SLP
• Shirrie D. Jones, LPC
• Erin Marie Kepler, M.S. CCC-SLP
• Lauren M. Simon, DDS, PLLC
• Nokesville Medicine PC
• Abidemi Ajoice Ohuwabiyi, CNA
• Ngozi Okafor
• Gisela Margarte Onijs, LMFT
• Relinquish Nutrition Counseling, LLC
• Lauren Michelle Simon, D.D.S.

• Registered Nurse in Nokesville, VA
• Providers in Nokesville, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.