IndividualActive
Agatha Odetola
NPI 1407519549 · School Registered Nurse · Long Island City, NY
Provider details
- NPI number
- 1407519549
- Entity type
- Individual
- Primary specialty
- School Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 805420 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2811 Queens Plz N
Long Island City, NY 11101-4172
Phone: (718) 391-8300
Street-level locationGet directions
Mailing address
20 W Mosholu Pkwy S Apt 10a
Bronx, NY 10468-1127
Registry dates
- Enumerated
- 2021-10-15
- Last updated
- 2021-10-15
- Certified
- 2021-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.