ANGELA R O'DELL (NPI# 1407074784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407074784 |
| Entity Type | Individual |
| Full Name | ANGELA R O'DELL |
| Credential | FNP |
| Practice Address |
113 Liner Dr Greenwood SC 29646-2311 |
| Mailing Address |
313 Main St Suite B Greenwood SC 29646-2757 |
| Practice Telephone | 8649418170 |
| Practice Fax Number | 8643881718 |
| Mailing Telephone | 8643880301 |
| Mailing Fax Number | 8643880648 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN2370 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196120 | Angela Lea O'dell | Nurse Practitioner | 1112 Oak St, Carmi, IL 62821-1344 | 2005-07-01 |
| Street Address |
113 LINER DR |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657870 | Juan Miguel Bonetti | Pediatrics | 113 Liner Dr, Greenwood, SC 29646-2311 | 2005-05-31 |
| 1760920565 | Ashley B Mcdaniel | Nurse Practitioner | 113 Liner Dr, Greenwood, SC 29646-2311 | 2017-02-01 |
| 1982084042 | Brandy Ann Mcgarity | Nurse Practitioner | 113 Liner Dr, Greenwood, SC 29646-2311 | 2015-06-04 |
| 1902202096 | Viarda L. Polanco Zacarias | Pediatrics | 113 Liner Dr, Greenwood, SC 29646-2311 | 2014-11-17 |
| 1669877908 | Clarissa Reynoso | Pediatrics | 113 Liner Dr, Greenwood, SC 29646-2311 | 2014-10-29 |
| 1790930634 | Mary Allison Mccaskill | Social Worker | 113 Liner Dr, Greenwood, SC 29646-2311 | 2008-11-19 |
| 1972636025 | Carolina Health Centers, Inc. | Clinic/Center | 113 Liner Dr, Greenwood, SC 29646-2311 | 2007-03-14 |
| 1972545101 | Pollyana Lam | Pediatrics | 113 Liner Dr, Greenwood, SC 29646-2311 | 2006-06-12 |
| 1407811094 | Brenda Jane Wulfekotte | Nurse Practitioner | 113 Liner Dr, Greenwood, SC 29646-8513 | 2006-04-18 |
| 1548233422 | Cheryl Darlene Platt | Nurse Practitioner | 113 Liner Dr, Greenwood, SC 29646-2311 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322505 | Amy Decker | Nurse Practitioner | 452 Macy Way, Greenwood, IN 46142-7483 | 2020-09-29 |
| 1417574252 | Amanda Rees | Nurse Practitioner | 432 S Emerson Ave Ste 320, Greenwood, IN 46143-1952 | 2020-06-27 |
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1487287579 | Angela Williams | Nurse Practitioner | 224 Georgia Ave, Greenwood, SC 29646-4642 | 2020-02-17 |
| 1740831015 | Cynthia Louise Lambert | Nurse Practitioner | 21580 Stacey Ln, Greenwood, NE 68366-1776 | 2019-09-26 |
| 1124682315 | Jill Bell Shirley | Nurse Practitioner | 105 Vinecrest Ct Ste 1000, Greenwood, SC 29646-8031 | 2019-04-24 |
| 1609332840 | Donna Luckett | Nurse Practitioner | 210 Amanda Dr Apt 15b, Greenwood, MS 38930-3820 | 2019-02-12 |
| 1902385123 | Cassandra Leigh Cole | Nurse Practitioner | 701 E County Line Rd Ste 204, Greenwood, IN 46143-1071 | 2018-08-08 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| Find all providers in GREENWOOD | ||||
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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.