LAURA LYNN ODOM (NPI# 1528436243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528436243 |
| Entity Type | Individual |
| Full Name | LAURA LYNN ODOM |
| Other Name | LAURA LYNN ALLEN |
| Credential | FNP |
| Practice Address |
1610 S Chadbourne St San Angelo TX 76903-8510 |
| Mailing Address |
2029 W Beauregard Ave San Angelo TX 76901-3812 |
| Practice Telephone | 3256585339 |
| Practice Fax Number | 3256598534 |
| Mailing Telephone | 3259475625 |
| Mailing Fax Number | 3259470101 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP129056 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629385463 | Laura Graddick Odom | Nurse Practitioner | 1109 Wilson St, Newberry, SC 29108-3443 | 2010-08-31 |
| 1164654083 | Laura L Odom | Speech-Language Pathologist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2009-08-11 |
| 1295720720 | Laura Elizabeth Odom | Nurse Practitioner | 801 N Weisgarber Rd, Suite 200, Knoxville, TN 37909-2706 | 2005-09-12 |
| Street Address |
1610 S CHADBOURNE ST |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477553832 | La Esperanza Clinic Inc | Internal Medicine | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2005-07-28 |
| 1174165153 | Ashley Nicole Stovall | Nurse Practitioner | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2019-10-11 |
| 1942781703 | Vidal Hernandez Torres Jr. | Nurse Practitioner | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2018-08-28 |
| 1962914176 | Donna Marie Linton | Nurse Practitioner | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2017-10-27 |
| 1942630959 | Laurie Smith Stiger | Registered Nurse | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2013-11-13 |
| 1689676637 | John M Cocuzzi | Family Medicine | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2005-08-10 |
| 1770584187 | La Esperanza Clinic Inc | Clinic/Center | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2005-08-09 |
| 1164423943 | Lee K Carlisle | Nurse Practitioner | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2005-08-03 |
| 1225039944 | Cynthia Stokes | Advanced Practice Midwife | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1487269064 | Delilah Deguire-guerra | Nurse Practitioner | 143 Oakwood St, San Angelo, TX 76903-8631 | 2020-09-10 |
| 1215571914 | Dawn Cumbie Burwick | Nurse Practitioner | 431 W 34th St, San Angelo, TX 76903-2323 | 2019-11-05 |
| 1033767504 | Kate Elizabeth Young | Nurse Practitioner | 1621 Iowa Ave, San Angelo, TX 76904-6888 | 2019-08-28 |
| 1760034698 | Lisbet Ivicic | Nurse Practitioner | 351 Kearney Blvd, San Angelo, TX 76908-3215 | 2019-07-11 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1487096665 | Mary Beth Luttrell | Nurse Practitioner | 1610s Chadbourne St, San Angelo, TX 76903-8510 | 2013-07-29 |
| 1336490614 | Toyha Drew Harper | Nurse Practitioner | 1601 S Chadbourne St, San Angelo, TX 76903-8509 | 2012-09-26 |
| 1992944565 | Kathe Ann Conner | Nurse Practitioner | 1901 Johnson St, San Angelo, TX 76909-0001 | 2009-02-05 |
| 1083859946 | David Earl Cooper | Nurse Practitioner | 1825 Christoval Rd, San Angelo, TX 76903-8602 | 2008-12-06 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
Please comment or provide details below to improve the information on LAURA LYNN 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.