Nkemjika Iris Odor

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

2920 N Green Valley Pkwy Ste 812
Henderson, NV 89014-0409

Phone

(702) 861-1875

Fax

(210) 892-3616

NPI assigned

Sep 10, 2012

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1811246523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LANE LN",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018630",
            "telephone_number": "307-674-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY STE 812",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140409",
            "telephone_number": "702-861-1875",
            "fax_number": "210-892-3616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 W Lake Mead Pkwy Ste 8",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890157055",
            "country_code": "US",
            "telephone_number": "702-565-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOR",
        "first_name": "NKEMJIKA",
        "middle_name": "IRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonja Ochonma
• Jocelyn Odar
• Edith Lamira Odiwo, PMHNP-BC
• Kimeshia Odom
• William Odonnell, PT
• Odyssey Medical Associates LLLP
• Daniel J Oehler, DMD
• Sarah Oettinger, LCSW
• Ofelia Madrigal (Nv20253268599)
• Shawna Offenberger

• Rehabilitation Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.