Individual provider Active NPI

Oddette Josephs, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1679934103
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
582907-1 Issued in NY
Practice address
465 E 29TH St
Brooklyn, NY 11226-7825
Phone
(917) 246-4800
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344774 NY
Registered Nurse 163W00000X 582907-1 NY Primary

Addresses

Primary practice location

465 E 29TH St
Brooklyn, NY 11226-7825

Mailing address

633 E 43Rd St
Brooklyn, NY 11203-5717
Phone (718) 451-2985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
582907-1NYMDRegistered Nurse
344774NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: oddette.josephs.1@24989.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1679934103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E 43RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035717",
            "telephone_number": "718-451-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267825",
            "telephone_number": "917-246-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHS",
        "first_name": "ODDETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344774",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "582907-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.