RITA MARGARET ODOM (NPI# 1134367022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134367022 |
| Entity Type | Individual |
| Full Name | RITA MARGARET ODOM |
| Credential | NP |
| Practice Address |
1400 Braden St Jacksonville AR 72076-3721 |
| Mailing Address |
200 Corporate Blvd Suite 201 Lafayette LA 70508-3870 |
| Practice Telephone | 8008939698 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
P00175 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477745974 | Rita S. Odom | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-08-17 |
| Street Address |
1400 BRADEN ST |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174509673 | Pulaski Emergency Group LLC | Physician Assistant | 1400 Braden St, Jacksonville, AR 72076-3721 | 2005-12-16 |
| 1306476957 | David Wicker | Nurse Practitioner | 1400 Braden St, Jacksonville, AR 72076-3721 | 2020-01-23 |
| 1689130338 | Freedom Behavioral Hospital of Central Arkansas LLC | Psychiatric Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2019-02-19 |
| 1154736262 | Monte Douglas | Physician Assistant | 1400 Braden St, Jacksonville, AR 72076-3721 | 2014-06-26 |
| 1568715910 | Chg Cornerstone Hospital of Little Rock, LLC | Long Term Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2012-10-23 |
| 1376812487 | Gpn Jacksonville LLC | Emergency Medicine | 1400 Braden St, Er Dept, Jacksonville, AR 72076-3721 | 2011-12-19 |
| 1093044166 | Jacksonville Emergency Medicine LLC | Emergency Medicine | 1400 Braden St, Jacksonville, AR 72076-3721 | 2009-12-18 |
| 1972709418 | Nasir Zareen | Emergency Medicine | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-06-22 |
| 1487863619 | Allegiance Hospital of North Little Rock, LLC | General Acute Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-05-22 |
| 1487870283 | Tammy M Copeland | Registered Nurse | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1265917124 | Sandra Jayussi | Nurse Practitioner | 7406 Fullerton Ave, Jacksonville, FL 32256 | 2018-09-26 |
| 1427563980 | William Phillips | Nurse Practitioner | 1325 San Marco Blvd Bldg Suite300, Jacksonville, FL 32207-8568 | 2017-12-06 |
| 1366977902 | Annette Faulkner Wall | Nurse Practitioner | 14601 Swansea Ct, Jacksonville, FL 32258-4446 | 2017-04-20 |
| 1730457565 | Tressie Brooks | Nurse Practitioner | 4203 Belfort Rd Ste 108, Jacksonville, FL 32216-1411 | 2011-12-07 |
| 1346563129 | Brooke Leigh Mcduffie | Nurse Practitioner | 3115 Spring Glen Rd, Suite 505, Jacksonville, FL 32207-5978 | 2010-03-08 |
| 1558536490 | Jacquelyn Danette Cannon | Nurse Practitioner | 1200 Riverplace Blvd 620, Jacksonville, FL 32207-1803 | 2008-04-22 |
| 1003969627 | Mike J Primeaux | Nurse Practitioner | 10601 San Jose Blvd Ste 208, Jacksonville, FL 32257-8203 | 2007-01-18 |
| 1700819372 | Paula F New | Nurse Practitioner | 3221 Henderson Dr, Jacksonville, NC 28546-5251 | 2006-07-08 |
| 1114972841 | Roxanna A Mcdonald | Nurse Practitioner | 1947 Morningside St, Jacksonville, FL 32205-9390 | 2006-05-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on RITA MARGARET ODOM.
| 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.