LEEANNE ODUM (NPI# 1659844306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659844306 |
| Entity Type | Individual |
| Full Name | LEEANNE ODUM |
| Practice Address |
1830 N Main St Bell FL 32619-4713 |
| Mailing Address |
23343 Nw County Road 236 High Springs FL 32643-9669 |
| Practice Telephone | 3524631100 |
| Practice Fax Number | 3524633924 |
| Mailing Telephone | 3526822529 |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN9360736 | FL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11000924 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1505 Sw Archer Rd, Gainesville, FL 326081134 | 3522650111 |
| Street Address |
1830 N MAIN ST |
| City | BELL |
| State | FL |
| Zip Code | 32619-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336173863 | Bruce Thomas | Family Medicine | 1830 N Main St, Bell, FL 32619-4713 | 2006-07-10 |
| 1447634233 | Shelly Kate Hicks | Nurse Practitioner | 1830 N Main St, Bell, FL 32619-4713 | 2015-07-12 |
| 1215103882 | Crystal Breeze Boyd | Nurse Practitioner | 1830 N Main St, Bell, FL 32619-4713 | 2008-05-05 |
| 1003009853 | Grace Dunn | Family Medicine | 1830 N Main St, Bell, FL 32619-4713 | 2007-08-24 |
| 1861694531 | Trenton Medical Center, Inc | Pharmacy | 1830 N Main St, Bell, FL 32619-4713 | 2007-06-04 |
| 1164642419 | Trenton Medical Center, Inc | Clinic/Center | 1830 N Main St, Bell, FL 32619-4713 | 2007-04-27 |
| 1376698811 | Rhonda Kaye Lynch | Social Worker | 1830 N Main St, Bell, FL 32619-4713 | 2007-01-24 |
| 1295884575 | Vanessa Lynn Miller | Nurse Practitioner | 1830 N Main St, Bell, FL 32619-4713 | 2007-01-09 |
| 1700801396 | Trenton Medical Center, Inc | Pharmacy | 1830 N Main St, Bell, FL 32619-4713 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245647981 | Christine M Poole | Specialist/Technologist | 930 S Main St, Bell, FL 32619-2388 | 2014-07-15 |
| 1780653477 | Cassie J. Gross | Specialist/Technologist | 930 S Main St, Bell, FL 32619-2388 | 2006-03-15 |
| 1609017730 | Laura Lee Cribbs | Massage Therapist | 3280 W Powers Ave, Bell, FL 32619-2403 | 2009-03-19 |
| 1386021319 | Kymberli Dawn Waingrow-edenfield | Nurse's Aide | 1379 Nw County Road 341, Bell, FL 32619-2964 | 2015-04-28 |
| 1225054802 | County of Gilchrist Board of Co Commissioners | Ambulance | 3250 N Us Highway 129, Bell, FL 32619-3319 | 2006-07-15 |
| 1083254627 | Helana Therese Shanks | Nurse Practitioner | 2049 Sw 75th Ave, Bell, FL 32619-4635 | 2020-01-12 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083254627 | Helana Therese Shanks | Nurse Practitioner | 2049 Sw 75th Ave, Bell, FL 32619-4635 | 2020-01-12 |
| 1508400987 | Danila Yesenia Portillo | Nurse Practitioner | 4566 Florence Ave Ste 5, Bell, CA 90201-4346 | 2019-10-29 |
| 1801967393 | Alberto Aguilar | Nurse Practitioner | 4129 Gage Ave, Bell, CA 90201-1128 | 2006-11-13 |
| 1992318315 | Prisma Otanez | Nurse Practitioner | 4670 Gage Ave, Bell, CA 90201-1360 | 2020-08-25 |
| 1447634233 | Shelly Kate Hicks | Nurse Practitioner | 1830 N Main St, Bell, FL 32619-4713 | 2015-07-12 |
| 1215103882 | Crystal Breeze Boyd | Nurse Practitioner | 1830 N Main St, Bell, FL 32619-4713 | 2008-05-05 |
| 1295884575 | Vanessa Lynn Miller | Nurse Practitioner | 1830 N Main St, Bell, FL 32619-4713 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
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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.