Provider Type Icon

COLLETTE ODIBO APRN-CNP NPI 1255661294


NPI Information

NPI: 1255661294
Provider Name: COLLETTE ODIBO, APRN-CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1818 NEW YORK AVE NE STE 110
WASHINGTON, DC
ZIP 20002
Phone: (202) 489-0615
Get Directions

Collette Odibo, APRN-CNP is a psychiatric/mental health nurse practitioner in Washington, DC. Collette Odibo, APRN-CNP NPI is 1255661294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1818 NEW YORK AVE NE STE 110
WASHINGTON, DC
ZIP 20002-849
Phone: (202) 489-0615

The NPI 1255661294 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2010 and was last updated on 10/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental Health193806MARYLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN1058051DISTRICT OF COLUMBIAYes
3163W00000XRegistered Nurse624985NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.