DANIELLE ELIZABETH O'DELL (NPI# 1134613425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134613425 |
| Entity Type | Individual |
| Full Name | DANIELLE ELIZABETH O'DELL |
| Other Name | DANIELLE ELIZABETH HOOP |
| Credential | PA-C |
| Practice Address |
71 Mack Walters Rd Shelbyville KY 40065 |
| Mailing Address |
71 Mack Walters Rd Shelbyville KY 40065-1751 |
| Practice Telephone | 5026337337 |
| Practice Fax Number | 5026337338 |
| Mailing Telephone | 5026337337 |
| Mailing Fax Number | 5026337338 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2019-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2369 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100548670 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 71 Mack Walters Rd, Shelbyville, KY 40065 | 5026337337 | 5026337338 |
| Street Address |
71 MACK WALTERS RD |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881748531 | Eric J Siegel | Pediatrics | 71 Mack Walters Rd, Shelbyville, KY 40065-1751 | 2007-01-22 |
| 1801130687 | Katherine S Garcia | Nurse Practitioner | 71 Mack Walters Rd, Shelbyville, KY 40065-1751 | 2012-11-19 |
| 1396983029 | Jennifer Mary Seib | Nurse Practitioner | 71 Mack Walters Rd, Shelbyville, KY 40065-1751 | 2009-02-03 |
| 1558415760 | Shelby Pediatrics, Psc | Physician Assistant | 71 Mack Walters Rd, Shelbyville, KY 40065-1751 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457865370 | Kelsey Colley | Physician Assistant | 221 Lane Pkwy, Shelbyville, TN 37160-3108 | 2017-11-30 |
| 1801841945 | Jennifer Lee Hartman | Physician Assistant | 2158 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8548 | 2006-05-24 |
| 1083691547 | Margaret Schmidt Endris | Physician Assistant | 231 Midland Park, Shelbyville, KY 40065-9735 | 2005-12-27 |
| 1215332986 | Jamie Elise Gonzales | Physician Assistant | 112 Airport Business Park Dr, Ste H, Shelbyville, TN 37160-7452 | 2014-10-23 |
| 1730484684 | Jean Tennant | Physician Assistant | 1612 N Main St, Suite A, Shelbyville, TN 37160-2391 | 2011-01-24 |
| 1154557718 | Lauren Kathryn Kaiser | Physician Assistant | 150 W Washington St, Shelbyville, IN 46176-1236 | 2009-06-09 |
| 1801074042 | Byron J Bloom | Physician Assistant | 883 Union St, Shelbyville, TN 37160-2607 | 2008-02-08 |
| 1558415760 | Shelby Pediatrics, Psc | Physician Assistant | 71 Mack Walters Rd, Shelbyville, KY 40065-1751 | 2007-01-23 |
| 1992715940 | Lauralee C Coleman | Physician Assistant | 101 Stonecrest Road, Suite 3, Shelbyville, KY 40065 | 2006-08-09 |
| 1518957869 | Barry J Cleary | Physician Assistant | 615 Washington St, Shelbyville, KY 40065-1131 | 2005-10-27 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on DANIELLE ELIZABETH O'DELL.
| 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.