SUMMER LORRAINE ODOM (NPI# 1437605300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437605300 |
| Entity Type | Individual |
| Full Name | SUMMER LORRAINE ODOM |
| Credential | FNP-C |
| Practice Address |
140 Gray Moss Rd De Soto GA 31743-2218 |
| Mailing Address |
2701 Meredyth Dr Albany GA 31707-2267 |
| Practice Telephone | 2298695483 |
| Mailing Telephone | 2298837010 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN204070 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
140 GRAY MOSS RD |
| City | DE SOTO |
| State | GA |
| Zip Code | 31743-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495819 | Meghan Jo Shackleton | Nurse Practitioner | 204 N Reed Station Rd, De Soto, IL 62924-1612 | 2020-07-24 |
| 1558986000 | Christy Lynn Pashia | Counselor | 116 N 2nd St # B, De Soto, MO 63020-1701 | 2020-06-10 |
| 1356963060 | Joshua Lee Lahr | Physician Assistant | 33345 W 87th Ter, De Soto, KS 66018-7952 | 2020-05-15 |
| 1912557844 | Gabriela Marie Garza | Physician Assistant | 10160 Waverly Rd, De Soto, KS 66018-7996 | 2019-09-12 |
| 1700435385 | Patsy Maness | Technician | 5100 Knorpp Road, De Soto, MO 63020 | 2019-09-06 |
| 1184272668 | Savanah Santonge | Technician | 608 Perry St, De Soto, MO 63020-1136 | 2019-08-28 |
| 1982250494 | Laura J Peek | Pathology | 8960 Commerce Dr Bldg 6, De Soto, KS 66018-8433 | 2019-08-12 |
| 1528610946 | Korinne Elizabeth Sackett | Pharmacist | 2020 Rock Rd, De Soto, MO 63020-1052 | 2019-07-15 |
| 1326608985 | Rachel Meyer | Speech-Language Pathologist | 650 Vineland School Rd, De Soto, MO 63020-2561 | 2019-06-17 |
| 1043877004 | Reilly Schultz | Case Management | 31505 W 85th St, De Soto, KS 66018-7804 | 2019-05-24 |
| Find all providers in DE SOTO | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495819 | Meghan Jo Shackleton | Nurse Practitioner | 204 N Reed Station Rd, De Soto, IL 62924-1612 | 2020-07-24 |
| 1861990566 | Travis Thibault | Nurse Practitioner | 8438 Timber Ridge Dr, De Soto, KS 66018-7122 | 2018-01-28 |
| 1720595200 | Danielle Marie Howerton | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2018-01-05 |
| 1508264946 | Becky Sue Hammon | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2014-12-17 |
| 1790037885 | Hattie Debord | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2012-10-12 |
| 1245522655 | Hometown Healthcare of Desoto LLC | Nurse Practitioner | 106 Easton St, De Soto, MO 63020-1706 | 2011-05-04 |
| 1255324828 | Phillip R Cummings | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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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.