Nicole Patricia Odabashyan, FNP
Individual provider Active NPI Family Nurse Practitioner · Wakefield, RI
NPI 1699478644 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1699478644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN04183 (RI)
- Practice address
- 70 Kenyon Ave Ste 210
Wakefield, RI 02879-4253 - Phone
- (401) 788-8780
- Fax
- (401) 788-8787
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Silver Spring Health Care Management Inc
Practice addresses (Care Compare)
70 Kenyon Ave
Suite 210
Wakefield, RI 02879-4253
Phone (401) 788-8780
Hospital & facility affiliations
- South County Hospital Inc
- Newport Hospital
- The Miriam Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416002272 | RI | Practitioner - Nurse Practitioner | 1254856883 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN65539 | RI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Spring Health Care Management, Inc. | Family | Current |
Accepting new patients |
| Silver Spring Health Care Management, Inc. | Family | Current |
Accepting new patients |
| Silver Spring Health Care Management, Inc | Past | Accepting new patients |
Locations
3461 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 471-6850
38 Powel Ave
Newport, RI 02840
Phone (401) 788-8780
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
70 Kenyon Ave
Ste 210
Wakefield, RI 02879
Phone (401) 788-8780
120 Centerville Rd
Ste 3
Warwick, RI 02886
Phone (401) 284-1212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN65539 | RI | |
| Family Nurse Practitioner | 363LF0000X | APRN04183 | RI | Yes |
Addresses
Primary practice location
70 Kenyon Ave Ste 210
Wakefield, RI 02879-4253
Mailing address
PO Box 229
Wakefield, RI 02880-0229
Phone (401) 788-8757
Other providers in Wakefield, RI
- Timothy J O'Mara
- O'Neill Medical, Inc.
- Joseph James O'Neill
- Meg O'Neill
- Robert T O'Neill
- Of the Heart, LLC
- John Louis Oleary
- Hector Alejandro Oliveras Cordero
- Rachael Catherine Olobri
- Leif Eric Olsson
All providers in Wakefield, RI · Family Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.