Nicole Patricia Odabashyan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN04183 Issued in 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

Last updated

Apr 9, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

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 IncGroup PAC ID 4688661127, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
• Newport Hospital Hospital, Newport, RI, CCN 410006
• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Silver Spring Health Care Management, Inc.

  dba SCMG Urology

  • Urology Physician
  • Wakefield, RI
  • NPI 1477052256

  Family

  Medicare reassignment Care Compare group NPD
• Silver Spring Health Care Management, Inc.

  dba SCMG Nursery

  • Pediatrics Physician
  • Wakefield, RI
  • NPI 1992224497

  Family

  NPD
• Silver Spring Health Care Management, Inc

  dba SCMG Behavioral Health & Community Health Team

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wakefield, RI
  • NPI 1104871003
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newport Hospital

  • General Acute Care Hospital
  • Newport, RI
  • NPI 1457346413
  Care Compare affiliation
• South County Hospital Healthcare System

  • General Acute Care Hospital
  • Wakefield, RI
  • NPI 1952366106
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1699478644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-788-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE STE 210",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794253",
            "telephone_number": "401-788-8780",
            "fax_number": "401-788-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODABASHYAN",
        "first_name": "NICOLE",
        "middle_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN65539",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J O'Mara, M.D.
• O'Neill Medical, Inc.
• Joseph James O'Neill, M.D.
• Meg O'Neill, MS,PT
• Robert T O'Neill, MD
• Of the Heart, LLC
• John Louis Oleary, DO
• Hector Alejandro Oliveras Cordero
• Rachael Catherine Olobri, RN
• Leif Eric Olsson, M.D.

• Family Nurse Practitioner in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.