TIFFANY ODELL (NPI# 1295145878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295145878 |
| Entity Type | Individual |
| Full Name | TIFFANY ODELL |
| Credential | D.O. |
| Practice Address |
1300 Roanoke Ave Riverhead NY 11901-2031 |
| Mailing Address |
5145 Nw 173rd Pl Portland OR 97229-7327 |
| Practice Telephone | 6315486442 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877452 | Tiffany Lynne Odell | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2017-01-11 |
| Street Address |
1300 ROANOKE AVE |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649804 | Central Suffolk Hospital | General Acute Care Hospital | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2005-06-21 |
| 1427655653 | Karina Milagros Alvarez | Registered Nurse | 1300 Roanoke Ave, Riverhead, NY 11901-2058 | 2020-10-01 |
| 1598380735 | Michael Robert Cespites Jr. | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-06-13 |
| 1124643747 | Ariane Osterwald | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-06-09 |
| 1972127306 | Carolyn Alvarez | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-06-01 |
| 1457974172 | Sana Hassan | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-05-28 |
| 1407479314 | Chana Stern | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-05-26 |
| 1821611096 | Adrienne Clarke | Nurse Anesthetist, Certified Registered | 1300 Roanoke Ave, Riverhead, NY 11901-2058 | 2020-05-22 |
| 1982227112 | Isaac Lee | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-05-21 |
| 1598386120 | Mahrukh Riaz | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2058 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558829127 | Reginald Archer | Student in an Organized Health Care Education/Training Program | 91 Linda Ln W, Riverhead, NY 11901-6309 | 2019-03-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1942587944 | Kelli Burton | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave., Riverhead, NY 11901 | 2011-11-04 |
| 1598380735 | Michael Robert Cespites Jr. | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-06-13 |
| 1124643747 | Ariane Osterwald | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-06-09 |
| 1972127306 | Carolyn Alvarez | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-06-01 |
| 1457974172 | Sana Hassan | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-05-28 |
| 1407479314 | Chana Stern | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-05-26 |
| 1982227112 | Isaac Lee | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2020-05-21 |
| 1598386120 | Mahrukh Riaz | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2058 | 2020-05-05 |
| Find all providers in RIVERHEAD | ||||
Please comment or provide details below to improve the information on TIFFANY ODELL.
| 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.