Odilia S Kwateng

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP4829 Issued in AZ

Practice address

6751 N Sunset Blvd Ste 320
Glendale, AZ 85305-3155

Phone

(623) 257-2200

Fax

(623) 257-2300

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: odilia.kwateng@277236870545412.direct.elationemr.com

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.

• Real Solutions Treatment Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1538939038
  Medicare reassignment NPD
• Ask Grace Foundation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tolleson, AZ
  • NPI 1306680111
  NPD Authorized official
• Preferred Residential Homes LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tolleson, AZ
  • NPI 1942143508
  NPD Authorized official
• Centerwell Senior Primary Care Az PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1063169316

  Family Medicine

  NPD (past)
• Centerwell Senior Primary Care Az PC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1497401830

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1629317185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18396 W MOUNTAIN SKY AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385698",
            "telephone_number": "623-257-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 N SUNSET BLVD STE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053155",
            "telephone_number": "623-257-2200",
            "fax_number": "623-257-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWATENG",
        "first_name": "ODILIA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4829",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Scott Kurec, PA-C
• John R Kurtz, DDS MS
• Leah Kurtzer
• Madison Kurz, DMD
• June A. Kwark, M.D.
• Kelly Kwok
• Delbert Lee Kyger III, DDS
• Karla Theresa Kyte, DPT
• Joel Kyulule
• Vivian La

• Psychiatric/Mental Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.