MRS. LAURA GRADDICK ODOM (NPI# 1629385463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629385463 |
| Entity Type | Individual |
| Full Name | MRS. LAURA GRADDICK ODOM |
| Credential | APRN, FNP-C |
| Practice Address |
1109 Wilson St Newberry SC 29108-3443 |
| Practice Telephone | 8033213035 |
| Practice Fax Number | 8033213034 |
| Mailing Telephone | 8033213035 |
| Mailing Fax Number | 8033213034 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2014-01-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4256 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528436243 | Laura Lynn Odom | Nurse Practitioner | 1610 S Chadbourne St, San Angelo, TX 76903-8510 | 2015-09-11 |
| 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 |
1109 WILSON ST |
| City | NEWBERRY |
| State | SC |
| Zip Code | 29108-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764870 | Michael Jerome Bernardo | Family Medicine | 1109 Wilson St, Newberry, SC 29108-3443 | 2005-07-19 |
| 1023357902 | Newberry Medical Associates | Clinic/Center | 1109 Wilson St, Newberry, SC 29108-3443 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
| 1922578582 | Joni Seibert Chapman | Registered Nurse | 3419 Main Street, Newberry, SC 29108 | 2018-11-27 |
| 1235652967 | Stephanie M Fulmer | Nurse Practitioner | 2351 Evans Street, Suite A, Newberry, SC 29108 | 2017-07-25 |
| 1497152177 | Frances Diane Martin | Registered Nurse | 9307 Sc Highway 34, Newberry, SC 29108 | 2014-11-25 |
| 1528463254 | Lauren Flynn | Registered Nurse | 3419 Main St, Newberry, SC 29108 | 2014-10-23 |
| 1689017998 | Charlene Kneece | Registered Nurse | 255 Hawkins Road, Newberry, SC 29108 | 2013-04-17 |
| 1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
| 1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
| 1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| Find all providers in zip 29108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686082 | Tatiana C Elizee | Nurse Practitioner | 951 Nw 254th Dr, Newberry, FL 32669-3512 | 2020-10-09 |
| 1639736945 | Danette Lynn Martyn | Nurse Practitioner | 7913 County Road 385, Newberry, MI 49868-7508 | 2019-05-22 |
| 1053834705 | Angela Amick Thomas | Nurse Practitioner | 2605 Kinard St Ste 105, Newberry, SC 29108-2965 | 2017-07-24 |
| 1912246513 | Matthew John Shullick | Nurse Practitioner | 3001 Newberry Ave, Newberry, MI 49868-1340 | 2013-02-04 |
| 1144352097 | Betty M Summer | Nurse Practitioner | Msa Hospice, 2228 Harrington Sr, Newberry, SC 29108 | 2007-03-09 |
| 1063971083 | Calistur Hill | Nurse Practitioner | 2041 Medical Park Dr, Newberry, SC 29108-2249 | 2019-03-19 |
| 1780169375 | Brook Lynn Dake | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2018-09-28 |
| 1396280137 | Barbie K. Johnson | Nurse Practitioner | 2605 Kinard St Ste 200, Newberry, SC 29108 | 2017-01-04 |
| 1023459914 | Aaron Joseph Nolan | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2013-07-09 |
| 1083960629 | Harriette L. Davis | Nurse Practitioner | 2669 Kinard St, Newberry, SC 29108-2911 | 2012-08-01 |
| Find all providers in NEWBERRY | ||||
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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.