Active NPI
Patricia Louise Odiorne, RD, CDE
- Registered Dietitian
- Oakville, WA
National Provider Identifier
1922246883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- R334668
- Practice address
- 21 Niederman Road
Oakville, WA 98568 - Phone
- (360) 709-1884
- Fax
- (360) 858-7300
- NPI assigned
- Jan 30, 2009
- 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 Dietitian | 133V00000X | R334668 | WA | Primary |
Addresses
Primary practice location
21 Niederman Road
Oakville, WA 98568
Mailing address
420 Howanut
P.O. Box 570
Oakville, WA 98568
Phone (360) 709-1884
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R334668 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1922246883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 HOWANUT",
"address_2": "P.O. BOX 570",
"city": "OAKVILLE",
"state": "WA",
"postal_code": "98568",
"telephone_number": "360-709-1884",
"fax_number": "360-858-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 NIEDERMAN ROAD",
"city": "OAKVILLE",
"state": "WA",
"postal_code": "98568",
"telephone_number": "360-709-1884",
"fax_number": "360-858-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODIORNE",
"first_name": "PATRICIA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "R334668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.