KELLY DIANE ODUM (NPI# 1841572922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841572922 |
| Entity Type | Individual |
| Full Name | KELLY DIANE ODUM |
| Credential | FNP-C |
| Practice Address |
397 Wallace Rd Building C, Suite 100 Nashville TN 37211-4854 |
| Practice Telephone | 6158346166 |
| Mailing Telephone | 6158346166 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
16109 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538442272 | Kelly Ann Odum | Pharmacist | 6505 N Illinois St, Fairview Heights, IL 62208-2001 | 2011-09-20 |
| 1881841476 | Kelly K Odum | Social Worker | 45 Executive Dr, Jackson, TN 38305-2337 | 2008-08-26 |
| Street Address |
397 WALLACE RD BUILDING C, SUITE 100 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37211-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063407351 | Christopher D Holloway | Family Medicine | 397 Wallace Rd, Suite 100, Nashville, TN 37211-4854 | 2005-09-13 |
| 1033569140 | Karl P. Kuhn M.d. | Internal Medicine | 397 Wallace Rd, Suite 415, Nashville, TN 37211-4854 | 2016-06-20 |
| 1992170658 | Johan Van Jaarsveld Md Pllc | Internal Medicine | 397 Wallace Rd, Suite 415, Nashville, TN 37211-4854 | 2015-12-07 |
| 1780073346 | Kimberly Anderson | Nurse Practitioner | 397 Wallace Rd, Suite 415, Nashville, TN 37211-4854 | 2015-01-20 |
| 1467882548 | Kaitlin Neary | Nurse Practitioner | 397 Wallace Rd, Suite 216c, Nashville, TN 37211-4854 | 2013-11-26 |
| 1649600107 | Advanced Foot and Ankle Care Centers | Podiatrist | 397 Wallace Rd, Bldg C Ste 411, Nashville, TN 37211-4854 | 2013-11-20 |
| 1740615657 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 397 Wallace Rd, Bldg C Suite 311, Nashville, TN 37211-4854 | 2013-09-10 |
| 1831437573 | Ashleigh M Moses | Nurse Practitioner | 397 Wallace Rd, Suite407, Nashville, TN 37211-4854 | 2013-01-30 |
| 1407190853 | David A Gilpin Md Plc | Otolaryngology | 397 Wallace Rd, Suite 101, Nashville, TN 37211-4854 | 2012-11-23 |
| 1225384209 | Jamil Auvy Hossain | Podiatrist | 397 Wallace Rd, Ste. 411, Nashville, TN 37211-4854 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778566 | Results-ast Jv, LLC | Physical Therapist | 4909 Nolensville Road, Nashville, TN 37211 | 2020-10-21 |
| 1467079111 | Jennifer Rose Shin | Pharmacist | 15588 Old Hickory Blvd, Nashville, TN 37211 | 2020-06-29 |
| 1114544046 | Empoweru Therapy, LLC | Physical Therapist | 6632 Sugar Valley Dr, Nashville, TN 37211 | 2020-06-26 |
| 1023654415 | Kharis Care LLC | Registered Nurse | 4013 Travis Drive Suite 210, Nashville, TN 37211 | 2019-11-21 |
| 1568932143 | Irena Tatom | Counselor | 404 Bna Dr. Suite 110, Nashville, TN 37211 | 2018-11-27 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1912406901 | Peace By Piece Aba Therapy & Behavioral Services | Behavioral Analyst | 410 Central Pike, Suite 306, Nashville, TN 37211 | 2018-02-06 |
| 1437661980 | Sara Sanfilippo Meehan | Nurse Practitioner | 397 Wallace Rd Ste 407, Nashville, TN 37211 | 2017-10-24 |
| 1215455571 | Royal Care Transportation | Non-emergency Medical Transport (VAN) | 600 Whispering Hills Dr, Apt# L12, Nashville, TN 37211 | 2017-09-06 |
| 1659800936 | Ashley Wheeler | Behavior Technician | 2404 Rollett Ct., Nashville, TN 37211 | 2017-06-08 |
| Find all providers in zip 37211 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1629684568 | Kathryn Ann Vago | Nurse Practitioner | 320 Doe Ridge Ct, Nashville, TN 37214-4741 | 2020-09-16 |
| 1275149163 | Courtney Lee Hunt | Nurse Practitioner | 5202 Centennial Blvd Ste 110, Nashville, TN 37209-1478 | 2020-09-16 |
| 1205441276 | Amy J Evans | Nurse Practitioner | 912a Spain Ave, Nashville, TN 37216-3625 | 2020-09-15 |
| 1285248898 | Stephanie Logan | Nurse Practitioner | 4720 Brighton Village Dr Unit A8, Nashville, TN 37211-6672 | 2020-09-01 |
| 1811500739 | Lauren Megan Jones | Nurse Practitioner | 1204b N 6th St, Nashville, TN 37207-5518 | 2020-08-29 |
| 1841802741 | Shasti Miller | Nurse Practitioner | 512 Old Hickory Blvd Apt 1819, Nashville, TN 37209-6104 | 2020-08-20 |
| 1770193633 | Nesheba Joy Facey-thomas | Nurse Practitioner | 1413 Ramble Hill Cir, Nashville, TN 37211-8530 | 2020-08-05 |
| Find all providers in NASHVILLE | ||||
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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.