Individual provider Active NPI

Stella Odame-Adjei, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1801040852
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
273855-1 Issued in NY
Practice address
1730 Harrison Ave
Apt 3I
Bronx, NY 10453-8400
Phone
(646) 764-8731
NPI assigned
Nov 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 273855-1 NY Primary

Addresses

Primary practice location

1730 Harrison Ave
Apt 3I
Bronx, NY 10453-8400

Mailing address

1730 Harrison Ave
Apt 3I
Bronx, NY 10453-8400
Phone (646) 764-8731

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

State licenses

LicenseStateTypeSpecialty
273855-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1801040852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 HARRISON AVE",
            "address_2": "APT 3I",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538400",
            "telephone_number": "646-764-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 HARRISON AVE",
            "address_2": "APT 3I",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538400",
            "telephone_number": "646-764-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODAME-ADJEI",
        "first_name": "STELLA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "273855-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.