Amy Odom, SLP/CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2988 Issued in NC

Practice address

1829 E Franklin St
Chapel Hill, NC 27514-5861

Phone

(919) 968-3456

Fax

(919) 932-3456

NPI assigned

Jun 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Total Rehabilitation Inc

  • Speech-Language Pathologist
  • Chapel Hill, NC
  • NPI 1760477715
  NPD (past)

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1104187541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3456",
            "address_2": "1829 E FRANKLIN STREET",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275153456",
            "telephone_number": "919-968-3456",
            "fax_number": "919-932-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145861",
            "telephone_number": "919-968-3456",
            "fax_number": "919-932-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "AMY",
        "credential": "SLP/CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justice Obasohan
• Bryan Ginika Obika, MD
• Nicole Ocasio Martinez
• Teny Maguy Odaimi, DMD
• Oladeji Odewade, MD
• Matthew Odom, ATC, LAT
• Andrew Odum, RN
• John Oluwaseyi Odumosu
• Araba Ofosu-Somuah, MD
• Ryan Ogilvy, OTA

• Speech-Language Pathologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.