Active NPI
Patricia A Odham, FNP
- Family Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5001162
- Practice address
- 3121 Wrightsville Ave
Wilmington, NC 28403-4111 - Phone
- (910) 769-6053
- Fax
- (910) 769-9048
- NPI assigned
- Nov 28, 2006
- Last updated
- Nov 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5001162 | NC | Primary |
Addresses
Primary practice location
3121 Wrightsville Ave
Wilmington, NC 28403-4111
Mailing address
1000 Medical Center Dr
Wilmington, NC 28401-7353
Phone (910) 970-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7741 Market St
Suite H
Wilmington, NC 28411-9444
Phone (910) 343-8424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001162 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Place of New Hanover County Inc | Current | Accepting new patients | |
| Trinity Wellness Center of Wilmington Inc | Current | Accepting new patients | |
| Wilmington Family Practice PLLC | Family | Current | Accepting new patients |
Locations
3971 Business 17 E
Bolivia, NC 28422
Phone (888) 751-3730
1000 Corporate Dr
Ste 301
Hillsborough, NC 27278
Phone (910) 343-8424
1000 Medical Center Dr
Wilmington, NC 28401
Phone (502) 434-1898
1907 S 17th St
Ste 1
Wilmington, NC 28401
Phone (877) 603-6199
201 N Front St
Ste LL102
Wilmington, NC 28401
7741 Market St
Ste H
Wilmington, NC 28411
Phone (910) 343-8424
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1750457024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017353",
"telephone_number": "910-970-4673",
"fax_number": "910-970-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 WRIGHTSVILLE AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034111",
"telephone_number": "910-769-6053",
"fax_number": "910-769-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODHAM",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5001162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.