VANESSA L ODOM (NPI# 1336623693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336623693 |
Entity Type | Individual |
Full Name | VANESSA L ODOM |
Credential | PNP |
Practice Address |
1817 W Morris Blvd Morristown TN 37813-2837 |
Mailing Address |
1225 E Weisgarber Rd Ste 200 Knoxville TN 37909-2675 |
Practice Telephone | 4235813904 |
Practice Fax Number | 4235816120 |
Mailing Telephone | 8655844747 |
Mailing Fax Number | 8655841363 |
Enumeration Date | 2018-09-21 |
Last Update Date | 2018-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
24979 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1817 W MORRIS BLVD |
City | MORRISTOWN |
State | TN |
Zip Code | 37813-2837 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144259920 | Larry Michael Toffoletto | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2006-07-02 |
1679126056 | Knoxville Pediatric Cardiology Morristown | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2019-07-24 |
1477037786 | Morgin N Grant | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2018-09-21 |
1285132845 | Summit Medical Group, Pllc | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2018-01-30 |
1134668379 | Ryan Davis | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2017-02-21 |
1609203298 | Jennifer G Tourville | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2013-09-27 |
1518393834 | Brittany Megan Seal | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2013-09-18 |
1356618987 | Ashley Kirkpatrick Williams | Clinical Nurse Specialist | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2011-11-28 |
1568624823 | Lauren Ruth Cordle | Audiologist-Hearing Aid Fitter | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2008-06-27 |
1811057888 | Casey Nelson Moss | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2006-12-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
Find all providers in zip 37813 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477037786 | Morgin N Grant | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2018-09-21 |
1013421775 | Laura Natoli | Nurse Practitioner | 131 Madison Ave, Morristown, NJ 07960-7360 | 2017-11-16 |
1740715531 | Joy C Sawicki | Nurse Practitioner | 100 Madison Ave, Respiratory Center for Children, Morristown, NJ 07960-6136 | 2017-04-29 |
1134668379 | Ryan Davis | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2017-02-21 |
1932572591 | Courtney Young Watson | Nurse Practitioner | 908 W 4th North St, Morristown, TN 37814-3894 | 2015-11-04 |
1609203298 | Jennifer G Tourville | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2013-09-27 |
1518393834 | Brittany Megan Seal | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2013-09-18 |
1457613457 | Tatiana Olena Huk Sikorskyj | Nurse Practitioner | 131 Madison Ave Ste 3, Morristown, NJ 07960-7360 | 2012-06-14 |
1801180385 | Kathryn Elizabeth Cox | Nurse Practitioner | 100 Madison Ave, Box 29, Morristown, NJ 07960-6136 | 2011-06-02 |
1295981777 | Kristen Rosamilia | Nurse Practitioner | 100 Madison Ave, Morristown, NJ 07960-6136 | 2008-08-15 |
Find all providers in MORRISTOWN |
City | MORRISTOWN |
Zip Code | 37813 |
Please comment or provide details below to improve the information on VANESSA L 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.