MR. JAMES GRAYDON ODOM (NPI# 1740293794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740293794 |
| Entity Type | Individual |
| Full Name | MR. JAMES GRAYDON ODOM |
| Credential | MS |
| Practice Address |
4800 Memorial Dr Audiology 126w Waco TX 76711-1329 |
| Practice Telephone | 2542973603 |
| Mailing Telephone | 2542973603 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 50511 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841317088 | James Huntington Odom Jr. | Dentist | 227 North Jefferson Ave, West Baton Rouge Parish, Port Allen, LA 70767 | 2007-03-23 |
| 1376691766 | James Elmer Odom | Counselor | 3021 Florence Ave, Steger, IL 60475-1146 | 2007-01-08 |
| 1770687022 | James D Odom | Nurse Practitioner | 1605 W Frank Ave, Lufkin, TX 75904 | 2006-09-08 |
| 1316281561 | James Daniel Odom | Pharmacist | 900 Assembly St, Columbia, SC 29201-3938 | 2012-11-11 |
| 1699097642 | James Carl Odom Jr. | Respiratory Therapist, Registered | 700 19th St S, Birmingham, AL 35233-1927 | 2010-02-18 |
| 1790901957 | James F Odom | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2007-04-17 |
| Street Address |
4800 MEMORIAL DR AUDIOLOGY 126W |
| City | WACO |
| State | TX |
| Zip Code | 76711-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331013 | Raymond C Lisauckis | Counselor | 4800 Memorial Dr, Va Medical Center (124-vist-w), Waco, TX 76711-1329 | 2005-07-22 |
| 1558978817 | Macey Lynn Everett | Nutritionist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-09-29 |
| 1659980696 | Najeeah Smith | Social Worker | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-07-27 |
| 1679100309 | Sara Mariem Ramadan | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-03-24 |
| 1225660798 | Tiffany A Wilson | Licensed Practical Nurse | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-02-12 |
| 1972142164 | Sheri Lynn Shaw | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-01-05 |
| 1366085953 | Ashley P Evans | Registered Nurse | 4800 Memorial Dr, Waco, TX 76711 | 2019-10-25 |
| 1669021184 | Marian Nichole Guerrero | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-09-06 |
| 1003463191 | Paul Cook | Physical Therapist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-08-22 |
| 1346892601 | Austen Anderson | Psychologist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090548 | Nps Care LLC | Pharmacy | 1401 S Valley Mills Drive, Beverly Hills, TX 76711 | 2019-12-19 |
| 1033684352 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 1437 S. Valley Mills Drive, Waco, TX 76711 | 2018-10-13 |
| 1093178733 | Access Dental of Valley Mills Pa | Dentist | 311401 S Valley Mills Drive, Waco, TX 76711 | 2016-03-31 |
| 1134501869 | Market Place Health Care, LLC | Skilled Nursing Facility | 2430 Market Place Drive, Waco, TX 76711 | 2015-06-18 |
| 1184038507 | Visn 17 Center of Excellence for Research On Returning War Veterans | Psychiatric Hospital | 4800 Veterans Memorial Drive, 151-c, Waco, TX 76711 | 2014-06-13 |
| 1053606228 | Clenny Edward Terrell | Pharmacist | 1520 S. Valley Mills Dr., Bevely Hills, TX 76711 | 2011-06-15 |
| 1225342926 | Geoffrey May | Psychiatry & Neurology | 4800 Memorial Drive (151c), Waco, TX 76711 | 2010-08-05 |
| 1184846685 | David Charles Chandler | Specialist/Technologist | Baylor Athletic Department, 150 Bear Run, Waco, TX 76711 | 2007-05-03 |
| 1326177601 | Minh D Nguyen | Family Medicine | 4800 Memorial Dr Bldg 4, Waco, TX 76711 | 2007-03-05 |
| 1376652719 | H-e-b, Lp | Clinical Medical Laboratory | 1821 S Valley Mills Dr, Waco, TX 76711 | 2006-08-30 |
| Find all providers in zip 76711 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508159765 | Jack Jones Hearing Centers, Inc. | Audiologist | 4300 W Waco Drive, Suite 107, Waco, TX 76710 | 2011-05-20 |
| 1902049588 | Right Hear Palm Springs, LLC | Audiologist | 8416 Old Mcgregor Rd, Waco, TX 76712-6499 | 2009-04-13 |
| 1235346107 | Nancy Mae Norman | Audiologist | 601 W Hwy 6 Ste 106, Waco, TX 76710-5592 | 2007-05-17 |
| 1689677734 | Melody S. Martin | Audiologist | 4720 W Waco Dr, Waco, TX 76710-7016 | 2005-05-23 |
| 1811445265 | Joy Hooter | Audiologist | 50 Hillcrest Medical Blvd, #206, Waco, TX 76712-8952 | 2016-09-14 |
| 1073927109 | Ashley Nicole Brindley | Audiologist | 601 W Hwy 6 Ste 106, Waco, TX 76710-5592 | 2014-06-17 |
| 1881006930 | Connect Hearing, Inc. | Audiologist | 4300 W Waco Dr, Ste A2, Waco, TX 76710-7010 | 2014-05-23 |
| 1851652911 | Melody Martin Au.d. Hearing Aids LLC. | Audiologist | 4720 W Waco Dr, Waco, TX 76710-7016 | 2012-06-06 |
| 1770809675 | Suzan Grabow | Audiologist | 601 W Highway 6, Suite 106, Waco, TX 76710-5591 | 2010-04-16 |
| 1164658910 | Lauren Elizabeth York | Audiologist | 601 W Highway 6, Suite 106, Waco, TX 76710-5591 | 2009-06-08 |
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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.