Stephanie Odinkemere, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

RN647776 Issued in PA

Practice address

680 Blair Mill Rd
Horsham, PA 19044-2223

Phone

(800) 561-0861

NPI assigned

Oct 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1922436252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 HENRY AVE APT D111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283075",
            "telephone_number": "267-279-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BLAIR MILL RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442223",
            "telephone_number": "800-561-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODINKEMERE",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "RN647776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Aloyisus Nungesser III, ATC
• Nwani Advanced Care LLC
• Kelly O'Connor, OTR/L
• David O'Neill, CRNP
• Jennifer Ann Obrien, MD
• Inioluwa Havilah Ogunsemowo, DPT
• Judith M Olimpo, R.PH.
• Taryn Mary Orloski, CRNP
• Marla Kelly Osner, NURSE PRACTITIONER
• Marc Ost, EXCPT

• Gerontology Registered Nurse in Horsham, PA
• Providers in Horsham, PA by specialty
• Gerontology Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.