Henry Odazie, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11009931 Issued in FL

Practice address

4513 NW 31St Ave Ste 1
Oakland Park, FL 33309-3403

Phone

(954) 496-2599

NPI assigned

Oct 28, 2020

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prestige Clinicians LLCGroup PAC ID 9234549841, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassionate Caring Home Care, Inc Home health agency, Hallandale, FL, CCN 109324
• Working Nurses Healthcare LLC Home health agency, Margate, FL, CCN 687057

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: henry.odazie.1@20660.direct.athenahealth.com
• Direct secure messaging: henry.odazie.1@23897.direct.athenahealth.com
• Direct secure messaging: henry.odazie.1@29801.direct.athenahealth.com
• Direct secure messaging: henry.odazie.1@30453.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4

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.

• Prestige Clinicians LLC

  • Primary Care Clinic/Center
  • Oakland Park, FL
  • NPI 1497213755

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• Prestige Recovery and Suboxone Clinic LLC

  dba Prestige Concierge Psychiatry

  • Psychiatry Physician
  • Fort Lauderdale, FL
  • NPI 1215623624
  Medicare reassignment NPD Authorized official
• Samdazie LLC

  dba Prestige Mobile Wound Consultants

  • Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1396493201
  Medicare reassignment NPD Authorized official
• Advanced Wound Care Solution

  • Multi-Specialty Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1518787902
  Medicare reassignment NPD
• Prestige Clinicians -Laboratory LLC

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
  • NPI 1760192546
  Authorized official Same address or phone
• Medm LLC

  dba Matus Medical

  • Multi-Specialty Clinic/Center
  • Oakland Park, FL
  • NPI 1710739537
  NPD (past)
• Prestige Sports and Regenerative Medicine LLC

  dba Prestige Concierge PT-OT-SLP and RT

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1750100723
  NPD (past)

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

• Compassionate Caring Home Care, Inc.

  • Home Health Agency
  • Hallandale Beach, FL
  • NPI 1033355672
  Care Compare affiliation
• Working Nurses Healthcare, LLC

  dba Working Nurses Homecare

  • Home Health Agency
  • Margate, FL
  • NPI 1457851685
  Care Compare affiliation

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1740880848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 NW 31ST AVE STE 1",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333093403",
            "telephone_number": "954-496-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 NW 31ST AVE STE 1",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333093403",
            "telephone_number": "954-496-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODAZIE",
        "first_name": "HENRY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9485891",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakland Park Spinal Care, Inc
• Oakland Park Wellness Center
• Angela Obrochta, M.ED. CCC/SLP
• Huston Ochoa, LCSW
• David M. Ockman, PHD
• Nickesha Ogeare, CRT
• Kevin Abraham Ohayon, D.O.
• One Love Family Home Care Agency LLC
• One Stop Medical Center Inc
• Open Heart Home Care Services Inc

• Family Nurse Practitioner in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.