Active NPI
Odessa Anita Calhoun, RN
- Registered Nurse
- Lorain, OH
National Provider Identifier
1801091053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN300473
- Practice address
- 1521 Shaffer Dr
Lorain, OH 44053-3524 - Phone
- (440) 989-9992
- Fax
- (440) 989-9992
- NPI assigned
- Jun 18, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN300473 | OH | Primary |
Addresses
Primary practice location
1521 Shaffer Dr
Lorain, OH 44053-3524
Mailing address
1521 Shaffer Dr
Lorain, OH 44053-3524
Phone (440) 989-9992
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN300473 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801091053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 SHAFFER DR",
"city": "LORAIN",
"state": "OH",
"postal_code": "440533524",
"telephone_number": "440-989-9992",
"fax_number": "440-989-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 SHAFFER DR",
"city": "LORAIN",
"state": "OH",
"postal_code": "440533524",
"telephone_number": "440-989-9992",
"fax_number": "440-989-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALHOUN",
"first_name": "ODESSA",
"middle_name": "ANITA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN300473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.