AMELIA ROSE ODOM (NPI# 1699251603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699251603 |
| Entity Type | Individual |
| Full Name | AMELIA ROSE ODOM |
| Credential | LVN, IBCLC |
| Practice Address |
8325 Walnut Hill Ln Ste 225 Dallas TX 75231-4263 |
| Practice Telephone | 2146913535 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 97282 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600137 | Amelia L Odom | Counselor | 8 Executive Dr, Fairview Heights, IL 62208-1345 | 2019-10-15 |
| Street Address |
8325 WALNUT HILL LN STE 225 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194835082 | Amanda Lea Bodwell | Nurse Practitioner | 8325 Walnut Hill Ln Ste 225, Dallas, TX 75231-4263 | 2006-08-30 |
| 1740649359 | Robyn Lilly | Pediatrics | 8325 Walnut Hill Ln Ste 225, Dallas, TX 75231-4263 | 2016-02-11 |
| 1043519234 | Hillary Lewis | Pediatrics | 8325 Walnut Hill Ln Ste 225, Dallas, TX 75231-4263 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255805875 | Michelle Ruby Anthonio | Lactation Consultant, Non-RN | 7447 Walling Ln, Dallas, TX 75231-7337 | 2019-01-16 |
| 1912489337 | Michelle Jennifer Bergman | Lactation Consultant, Non-RN | 549 Waburn Walk, Dallas, GA 30132 | 2018-09-01 |
| 1649725003 | Meridith Lohse | Lactation Consultant, Non-RN | 7754 Eagle Trl, Dallas, TX 75238-4115 | 2016-08-15 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1376178855 | Courtney Jade Hamilton | Lactation Consultant, Non-RN | 107 Murray St, Dallas, TX 75226-1645 | 2020-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336253 | Dawnestel Fodeibou | Lactation Consultant, Non-RN | 3354 Strong Winds Dr, Houston, TX 77014-2862 | 2020-11-05 |
| 1225654700 | Payton Haylie Blackwood | Lactation Consultant, Non-RN | 4201 Boat Club Rd, Fort Worth, TX 76135-2602 | 2020-06-22 |
| 1457974941 | Veronica A Gaitan | Lactation Consultant, Non-RN | 2100 Jay Ave, Mcallen, TX 78504-3921 | 2020-05-19 |
| 1124657689 | Danielle Villanueva | Lactation Consultant, Non-RN | 502 Smith Street, Henderson, TX 75654 | 2020-04-06 |
| 1578199881 | Emily Fullmer Liczbinski | Lactation Consultant, Non-RN | 2753 Scenic Dr, Plano, TX 75025-4155 | 2020-03-18 |
| 1316572845 | Nia Mathis | Lactation Consultant, Non-RN | 4804 Topsey Dr, Killeen, TX 76542-6201 | 2020-03-04 |
| 1073147971 | Alyssa Nicole Peri | Lactation Consultant, Non-RN | 2301 Silver Maple Dr, Wylie, TX 75098-8443 | 2020-02-28 |
| 1366074809 | Medora Jean Hamrick | Lactation Consultant, Non-RN | 849 Layla Dr, Fate, TX 75087-0228 | 2020-02-11 |
| 1295371912 | Dawna Marie Mangrum | Lactation Consultant, Non-RN | 4734 Cedarbrook, San Antonio, TX 78238-3011 | 2019-11-18 |
| 1316582869 | Sarah Cuccia | Lactation Consultant, Non-RN | 6619 Lindale Manor Ct, Spring, TX 77379-8930 | 2019-11-07 |
| 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.