DANA ODOM


Address: 131 E Redstone Ave Ste 107, Crestview, FL 32539-5355
Phone: 8506826320

DANA ODOM (NPI# 1942758446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942758446
Entity Type Individual
Full Name DANA ODOM
Practice Address 131 E Redstone Ave Ste 107
Crestview
FL 32539-5355
Practice Telephone 8506826320
Practice Fax Number 8506826339
Mailing Telephone 8506826320
Mailing Fax Number 8506826339
Enumeration Date 2016-09-14
Last Update Date 2016-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP9310065 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL ARNP LISENSE ARNP9310065 01

Office Location

Street Address 131 E REDSTONE AVE STE 107
City CRESTVIEW
State FL
Zip Code 32539-5355

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326418336 Abc Pediatrics of Okaloosa Pediatrics 182 E. Redstone Ave, Suite B, Crestview, FL 32539 2015-10-02
1336498443 Jessica Carolina Carroll Counselor 259 E. Oakdale Ave, Crestview, FL 32539 2012-09-05
1902167166 Patricia Guess Registered Nurse 6011 Aubrey Lee Ln, Crestview, FL 32539 2012-06-05
1699048181 Chien Nguyen Clinical Medical Laboratory 151 East Redstone Avenue, Crestview, FL 32539 2012-02-15
1043494164 Crestview Mri Clinic/Center 700 Hospital Drive, Crestview, FL 32539 2007-12-26
1558581215 Barnes Healthcare of Fl LLC Durable Medical Equipment & Medical Supplies 450 Brookmeade Dr, Crestview, FL 32539 2007-04-26
1568576098 Okaloosa Youth Development Center Substance Abuse Rehabilitation Facility 4449 Straighline Road, Crestview, FL 32539 2006-08-19
1154368181 Marcello Borzatta Surgery 129 E. Redstone Ave, Suite A, Crestview, FL 32539 2006-05-31
1902850258 Panhandle Orthopaedics LLC Physical Therapist 710 Hospital Drive, Crestview, FL 32539 2006-05-20
1619941440 Yale R Smith Anesthesiology 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 2006-02-16
Find all providers in zip 32539

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871117242 Chassity Ann Wilson Nurse Practitioner 369 N Main St, Crestview, FL 32536-3541 2020-06-02
1194347997 Ceselly Layne Yates Nurse Practitioner 129 E Redstone Ave Ste A, Crestview, FL 32539-5350 2020-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649871724 Brenna Schulman Nurse Practitioner 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 2020-11-04
1245831726 Sydia Spence Nurse Practitioner 8001 Nw 66th Ter, Tamarac, FL 33321-7015 2020-11-02
1598365165 Fernande Simeon Nurse Practitioner 6490 Nw 55th St, Coral Springs, FL 33067-2710 2020-10-31
1780284596 Corrective Spinal Care Inc Nurse Practitioner 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 2020-10-30
1023617420 John Bertram Garrett Iv Nurse Practitioner 5079 Garrett Rd, Malone, FL 32445-3409 2020-10-19
1518565894 Karen Giselle Reyes Nurse Practitioner 4563 Perth Rd, West Palm Beach, FL 33415-2811 2020-10-09
1265039424 Catherine Dettelbach Lake Nurse Practitioner 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 2020-10-01
1417562877 Victoria Ann Jacobs Nurse Practitioner 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 2020-09-12
1760096135 Conciergenp Nurse Practitioner 1221 S 23rd Ave, Hollywood, FL 33020-5912 2020-09-03
1649881434 Dr Jose A Rivera LLC Nurse Practitioner 110 W Citrus St, Altamonte Springs, FL 32714-2502 2020-08-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City CRESTVIEW
Zip Code 32539

Improve Information

Please comment or provide details below to improve the information on DANA ODOM.

Dataset Information

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.

Trending Searches