THERESA ODOM (NPI# 1659738615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659738615 |
| Entity Type | Individual |
| Full Name | THERESA ODOM |
| Credential | APRN |
| Practice Address |
821 N Broadway St Aspermont TX 79502-2029 |
| Practice Telephone | 9409892875 |
| Mailing Telephone | 9409892875 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP130012 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
821 N BROADWAY ST |
| City | ASPERMONT |
| State | TX |
| Zip Code | 79502-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612121 | Stonewall Memorial Hospital | Emergency Medicine | 821 N Broadway St, Aspermont, TX 79502-2029 | 2005-07-12 |
| 1730728759 | Andrea Lanett Ponder | Counselor | 821 N Broadway St, Aspermont, TX 79502-2029 | 2019-12-23 |
| 1891281648 | Saul Harris Pennington | Physician Assistant | 821 N Broadway St, Aspermont, TX 79502-2029 | 2018-07-05 |
| 1235556002 | Whitney Shumaker | Physician Assistant | 821 N Broadway St, Aspermont, TX 79502-2029 | 2014-03-18 |
| 1255464392 | Stonewall County Ambulance Service | Ambulance | 821 N Broadway St, Aspermont, TX 79502-2029 | 2007-03-14 |
| 1457489171 | Tammy Renay Gentry | Physical Therapist | 821 N Broadway St, Aspermont, TX 79502-2029 | 2007-03-02 |
| 1972577963 | Walter L Johnson | Family Medicine | 821 N Broadway St, Aspermont, TX 79502 | 2006-02-15 |
| 1538142617 | Frederic K. Passmann | Emergency Medicine | 821 N Broadway St, Aspermont, TX 79502 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746450 | Stonewall Memorial Hospital | Skilled Nursing Facility | 931 S. Broadway, Aspermont, TX 79502 | 2019-12-03 |
| 1033594478 | Gibson Care Center | Skilled Nursing Facility | 931 N Broadway, Aspermont, TX 79502 | 2015-07-28 |
| 1467643247 | Belinda Hecht, Inc | Counselor | 505 South Broadway, Aspermont, TX 79502 | 2007-08-06 |
| 1275645137 | Belinda Jo Hecht | Counselor | 201 Hwy 3457, Aspermont, TX 79502 | 2006-08-31 |
| 1598791428 | Aspermont Pharmacy, Inc. | Pharmacy | 616 South Washington, Aspermont, TX 79502 | 2006-06-23 |
| 1578534772 | Stonewall Memorial Hospital Dba Gibson Care Center | Nursing Facility/Intermediate Care Facility | 1000 N. Broadway, Aspermont, TX 79502 | 2006-01-27 |
| 1144428301 | Lee A Hagins | Pharmacist | 616 S Washington St, Aspermont, TX 79502 | 2007-07-10 |
| 1063898294 | Laura Collins Kerestly | Counselor | Po Box C, Aspermont, TX 79502-0902 | 2015-08-11 |
| 1265893762 | Aspermont Independent School District | Local Education Agency (LEA) | 528 E 7th St, Aspermont, TX 79502-2028 | 2016-03-10 |
| 1184057598 | Stonewall Memorial Hospital | Clinic/Center | 819 N Broadway St, Aspermont, TX 79502-2029 | 2013-08-21 |
| Find all providers in zip 79502 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740588 | Jessica Claudia Cazaubon | Nurse Practitioner | 13327 Crim Rd, Houston, TX 77049-3448 | 2020-11-04 |
| 1629679147 | Magdoleen Awad | Nurse Practitioner | 1602 Morning Dove Ct, Carrollton, TX 75007-1462 | 2020-11-02 |
| 1215536131 | Linnet Litakuli Nandwa | Nurse Practitioner | 6509 Sheerwater Rd, Arlington, TX 76002-3680 | 2020-10-21 |
| 1902405301 | Texas Suburban Visiting Physician Services | Nurse Practitioner | 2200 Smith Barry Rd, Pantego, TX 76013-5800 | 2020-10-19 |
| 1437757432 | Katie Jo Dixon | Nurse Practitioner | 4300 Speedway Unit 4775, Austin, TX 78765-2032 | 2020-10-12 |
| 1376140954 | Melissa Kujawski | Nurse Practitioner | 332 Enid Dr, Lewisville, TX 75056-5874 | 2020-10-06 |
| 1952908188 | Sari Alhaik | Nurse Practitioner | 411 Park Grove Dr Ste 620, Katy, TX 77450-1576 | 2020-10-01 |
| 1669089421 | Heather Ann Votion | Nurse Practitioner | 4501 S General Bruce Dr Ste 75, Temple, TX 76502-1466 | 2020-09-25 |
| 1245847318 | Xin Peng | Nurse Practitioner | 707 Walsh Hill Trl, Cedar Park, TX 78613-4855 | 2020-09-23 |
| 1194331470 | Clara Dornisha Green | Nurse Practitioner | 5847 Acacia Cir Apt 1816, El Paso, TX 79912-4881 | 2020-09-22 |
| 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.