Benedict Chukwuma Odiri, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA 15637-NP Issued in OH

Practice address

880 Quitman Dr E
Gahanna, OH 43230-2076

Phone

(614) 572-6792

NPI assigned

Mar 29, 2007

Last updated

Feb 20, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Covenant Health Services LLC

  • Home Health Registered Nurse
  • Columbus, OH
  • NPI 1467661363
  NPD Authorized official
• Electrophysiology and Pacing Interventionalists, LLC

  dba E.P.I.

  • Cardiovascular Disease Physician
  • Columbus, OH
  • NPI 1245305515
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1861512675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 QUITMAN DR E",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302076",
            "telephone_number": "614-572-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 QUITMAN DR E",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302076",
            "telephone_number": "614-572-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIRI",
        "first_name": "BENEDICT",
        "middle_name": "CHUKWUMA",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "322621",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 15637-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Lynn O'Neil, PHD
• John Gilbert Oas, M.D.
• Oasis Home Health Care
• Ocheltree Development Company (Star Home Care)
• Pamela Ochs
• Gertrude Ifeoma Odiri, LPN
• Odyssey Healthcare Operating B LP (Odyssey HealthCare of Columbus)
• Jay Michael Ofat, RPH
• Shi-Han Oh, M.D.
• Ohio Behavioral Healthcare Services, LLC

• Family Nurse Practitioner in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.