Odette Solange Kemvo, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R207929 Issued in MD

Practice address

1057 Foxchase LN
Essex, MD 21221-5909

Phone

(443) 600-1620

NPI assigned

Dec 17, 2019

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

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Eldercare Physician Services LLCGroup PAC ID 9830002534, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesis Eldercare Physician Services LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1588690135

  DC

  Medicare reassignment Care Compare group
• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  DC

  Medicare reassignment NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Salisbury, MD
  • NPI 1881635183
  Medicare reassignment
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  DC, MD

  Medicare reassignment

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1952949299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 FOXCHASE LN",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215909",
            "telephone_number": "443-600-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 FOXCHASE LN",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215909",
            "telephone_number": "443-600-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMVO",
        "first_name": "ODETTE",
        "middle_name": "SOLANGE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R207929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Overflow International Ministries Inc
• Marigoula Kalliki
• Hardika Kapadia
• Jatu Sonii Karpeh
• Keland Health
• KFM Inc
• KFM Inc
• Joseph Kim, LCPC
• Kingdom First Care
• Jessica Knott

• Adult Health Nurse Practitioner in Essex, MD
• Providers in Essex, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.