KATHLEEN SUZANNE ODELL (NPI# 1104330109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104330109 |
| Entity Type | Individual |
| Full Name | KATHLEEN SUZANNE ODELL |
| Credential | CRNP-FAMILY |
| Practice Address |
1017 E Baltimore St Baltimore MD 21202-4705 |
| Mailing Address |
Po Box 103 Severna Park MD 21146-0103 |
| Practice Telephone | 4106757500 |
| Practice Fax Number | 4432300059 |
| Mailing Telephone | 4106757500 |
| Mailing Fax Number | 4432300059 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R128442 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255544599 | Kathleen Odell | Dentist | 826 E 12300 S Ste 2, Draper, UT 84020-8276 | 2007-05-07 |
| Street Address |
1017 E BALTIMORE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073803888 | Peoples Community Health Center, Inc. | Clinic/Center | 1017 E Baltimore St, Baltimore, MD 21202-4705 | 2011-04-13 |
| 1003389115 | Gbmc Health Partners At Helping Up Mission, LLC | General Practice | 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202-4705 | 2019-01-11 |
| 1669858312 | Health Alliance Associates, Inc. | Counselor | 1017 E Baltimore St, Baltimore, MD 21202-4705 | 2015-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1750996930 | Ashley Tyisha Sydnor | Nurse Practitioner | 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 | 2020-09-14 |
| 1750992293 | Samantha Rodriguez | Nurse Practitioner | 3989 Boston St, Baltimore, MD 21224-5759 | 2020-08-10 |
| 1265040380 | Pathway To Wellness Healthcare Center | Nurse Practitioner | 6507 Baltimore Ave, Baltimore, MD 21222-4002 | 2020-07-14 |
| 1679107916 | Ugochi Ebiye | Nurse Practitioner | 6 Millwheel Ct, Baltimore, MD 21236-2548 | 2020-02-25 |
| 1417580168 | Tiwalola Olabisi Akinsade | Nurse Practitioner | 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 | 2020-02-20 |
| 1457996688 | Lashawn S Scott | Nurse Practitioner | 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 | 2019-11-12 |
| 1740825041 | Rosemary Lokko | Nurse Practitioner | 2431 Jefferson St, Baltimore, MD 21205-2543 | 2019-11-10 |
| 1881237972 | Jennifer Lillian Mothershed | Nurse Practitioner | 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 | 2019-10-22 |
| 1376186775 | Jessica L Mcauliffe | Nurse Practitioner | 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 | 2019-10-18 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.