KIMBERLY ODENDAHL (NPI# 1861864704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861864704 |
| Entity Type | Individual |
| Full Name | KIMBERLY ODENDAHL |
| Credential | COTA/L |
| Practice Address |
10631 S 51st St Suite 8 Phoenix AZ 85044-5225 |
| Mailing Address |
4646 E Lewis Ave Phoenix AZ 85008-2406 |
| Practice Telephone | 4803984280 |
| Mailing Telephone | 6024726876 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 6194 | AZ | Other Service Providers |
| Street Address |
10631 S 51ST ST SUITE 8 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982768446 | Aimee Piller | Occupational Therapist | 10631 S 51st St, Suite 8, Phoenix, AZ 85044-5225 | 2006-12-20 |
| 1578052270 | Patricia Selina Hendrick | Occupational Therapy Assistant | 10631 S 51st St, Phoenix, AZ 85044-5225 | 2018-05-08 |
| 1275051625 | Maria Roots | Occupational Therapist | 10631 S 51st St, Phoenix, AZ 85044-5225 | 2017-09-06 |
| 1538695309 | Kristine Renee Bowman | Occupational Therapy Assistant | 10631 S 51st St, Phoenix, AZ 85044-5225 | 2017-05-11 |
| 1538607924 | Marissa Hennigan | Specialist/Technologist | 10631 S 51st St, Sutie 8, Phoenix, AZ 85044-5225 | 2017-02-06 |
| 1366985152 | Rachel Rodia | Occupational Therapist | 10631 S 51st St, Suite 8, Phoenix, AZ 85044-5225 | 2016-11-28 |
| 1710433206 | Aileen Mary Brown | Occupational Therapy Assistant | 10631 S 51st St, 8, Phoenix, AZ 85044-5225 | 2016-08-25 |
| 1750738175 | Katherine Shaw | Occupational Therapist | 10631 S 51st St, Suite 8, Phoenix, AZ 85044-5225 | 2016-05-16 |
| 1295104701 | Mallory Coy | Speech-Language Pathologist | 10631 S 51st St, Suite 8, Phoenix, AZ 85044-5225 | 2015-09-15 |
| 1194100040 | Anya Darling | Speech-Language Pathologist | 10631 S 51st St, Suite 8, Phoenix, AZ 85044-5225 | 2015-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 1962936773 | Zoe Reed | Specialist | 20950 N 29th Ave, Suite 100, Phoenix, AZ 85027-3110 | 2017-04-18 |
| 1295289163 | Affiliated Therapy Services | Specialist | 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040-4803 | 2016-08-09 |
| 1285084400 | Jacqueline Kincer | Specialist | 4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397 | 2016-06-18 |
| 1750747218 | Hilary Caine | Specialist | 6228 W Molly Dr, Phoenix, AZ 85083-6525 | 2016-01-13 |
| 1659757268 | Armendariz Medical Associates LLC | Specialist | 3509 E Shea Blvd Ste 103, Phoenix, AZ 85028-3337 | 2015-08-05 |
| 1669877247 | Shawna Christofis | Specialist | 3940 E Goldfinch Gate Ln, Phoenix, AZ 85044-4513 | 2014-10-25 |
| 1396151890 | Michelle Rene' Reinhardt | Specialist | 11010 S Tomah St, Phoenix, AZ 85044-1914 | 2014-07-03 |
| 1518371863 | Stacy Hall Brink | Specialist | 4713 E Michigan Ave, Phoenix, AZ 85032-9517 | 2014-06-15 |
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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.