JUSTIN ODEN (NPI# 1811430275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811430275 |
| Entity Type | Individual |
| Full Name | JUSTIN ODEN |
| Credential | CRNP |
| Practice Address |
1000 Saint Clair Rd Springville AL 35146-5582 |
| Practice Telephone | 2054676765 |
| Mailing Telephone | 2054676765 |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-120677 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 SAINT CLAIR RD |
| City | SPRINGVILLE |
| State | AL |
| Zip Code | 35146-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821184334 | Walter W Wilson | Family Medicine | 1000 Saint Clair Rd, Springville, AL 35146-5582 | 2006-10-04 |
| 1104467356 | Hannah Mcclellan Brooks | Nurse Practitioner | 1000 Saint Clair Rd, Springville, AL 35146-5585 | 2019-09-30 |
| 1164625968 | Correctional Medical Services | Clinic/Center | 1000 Saint Clair Rd, Springville, AL 35146-5582 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730618141 | Perry Cancilla | Specialist/Technologist | 173 Crandall Drive, Springville, AL 35146 | 2017-06-08 |
| 1508394578 | Kathryn Clairena Stanton | Pharmacist | 160 Springville Station Blvd, Springville, AL 35146 | 2017-06-02 |
| 1588058317 | Vision Alabama LLC | Optometrist | 100 Legacy Park Way, Springville, AL 35146 | 2015-03-18 |
| 1548664055 | Northeast Alabama Dental, PC | Dentist | 106 Legacy Park Way, Springville, AL 35146 | 2014-10-13 |
| 1356682173 | Monica M Chadwick | Nurse Practitioner | 350 Springville Station Blvd, Springville, AL 35146 | 2013-03-04 |
| 1689855413 | Ivey Davis Rutledge | Dentist | 6324 Us Hwy 11, Springville, AL 35146 | 2007-11-20 |
| 1467514687 | Barry J Mccleney | Family Medicine | 5718 Us Hwy 11, Springville, AL 35146 | 2006-12-14 |
| 1093805145 | Wal-mart Stores East, Lp | Technician/Technologist | 160 Springville Station Blvd., Springville, AL 35146 | 2006-10-12 |
| 1689187080 | Springville Pediatrics LLC | Clinic/Center | 350 Springville Station Blvd, Springville, AL 35146 | 2017-11-08 |
| 1790953461 | Back In Motion Physical Therapy LLC | Clinic/Center | 6460 Us Highway 11, Springville, AL 35146 | 2008-02-15 |
| Find all providers in zip 35146 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578626727 | Aaron Christian Hartle | Nurse Practitioner | 405 South Main, Springville, UT 84663-9251 | 2006-12-19 |
| 1114909066 | Karen W Manning | Nurse Practitioner | 230 S Cascade Dr, Springville, NY 14141-9275 | 2005-11-16 |
| 1780209668 | Katelyn Siano | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2020-06-16 |
| 1659724284 | Sarah J Krempa | Nurse Practitioner | 224 E Main St, Springville, NY 14141-1443 | 2016-07-19 |
| 1093164725 | Melissa Bryson | Nurse Practitioner | 224 E Main St, Springville, NY 14141-1443 | 2016-06-03 |
| 1376929182 | Melissa Emily Hake | Nurse Practitioner | 25 E Main St, Springville, NY 14141-1244 | 2015-08-04 |
| 1568866168 | Kathryn Conover Morrill | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2014-10-10 |
| 1972830768 | Jessica Alyse Parker | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2009-11-16 |
| 1447436332 | Pace Healthcare, LLC | Nurse Practitioner | 405 S Main St, Springville, UT 84663-2252 | 2008-01-10 |
| 1497876031 | Sue W Payne | Nurse Practitioner | 480 Walker Dr, Springville, AL 35146-3250 | 2007-04-02 |
| Find all providers in SPRINGVILLE | ||||
| City | SPRINGVILLE |
| Zip Code | 35146 |
Please comment or provide details below to improve the information on JUSTIN ODEN.
| 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.