Individual provider Active NPI

Olivia Danielle Odom

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1093162893
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9368476 Issued in FL
Practice address
7240 7TH PL N
West Palm Beach, FL 33411-3801
Phone
(561) 969-6663
NPI assigned
May 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9368476 FL Primary

Addresses

Primary practice location

7240 7TH PL N
West Palm Beach, FL 33411-3801

Mailing address

3385 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410-4328

Other practice location 1

777 Glades Rd
Boca Raton, FL 33431-6424
Phone (561) 297-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811000372 FL Practitioner - Nurse Practitioner 3971899550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Presser MD PAGroup PAC ID 4183894603, 5 clinicians
Palm Beach County Fire Fighters Health Clinic LLCGroup PAC ID 0143651679, 12 clinicians

Practice addresses (Care Compare)

3385 Burns Rd
Suite 106
Palm Beach Gardens, FL 33410-4328
Phone (561) 691-0100

7240 7TH PL N
West Palm Beach, FL 33411-3801
Phone 5619696663268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L Presser MD PA CurrentSince Feb 15, 2017 Accepting new patients
Palm Beach County Fire Fighters Health Clinic LLC CurrentSince May 23, 2020 Accepting new patients

Locations

3385 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 691-0100

3385 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 691-0100

7240 7th Pl N
West Palm Beach, FL 33411
Phone (561) 969-6663

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1093162893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 BURNS RD",
            "address_2": "STE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 7TH PL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113801",
            "telephone_number": "561-969-6663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Glades Rd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316424",
            "country_code": "US",
            "telephone_number": "561-297-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "OLIVIA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-21",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9368476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.