Active NPI
Teffany Odie, RN
- Registered Nurse
- Mesquite, TX
National Provider Identifier
1134486483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 769439
- Practice address
- 815 Valleycreek Rd
Mesquite, TX 75181-2353 - Phone
- (214) 272-9701
- Fax
- (214) 272-9701
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 769439 | TX | Primary |
| Home Health Registered Nurse | 163WH0200X | 769439 | TX | |
| Hospice Registered Nurse | 163WH1000X | 769439 | TX | |
| Pain Management Registered Nurse | 163WP0000X | 769439 | TX |
Addresses
Primary practice location
815 Valleycreek Rd
Mesquite, TX 75181-2353
Mailing address
815 Valleycreek Rd
Mesquite, TX 75181-2353
Phone (214) 272-9701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 769439 | TX | MD | Pain Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utopia Hospice, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Dallas, TX
- NPI 1780330092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1134486483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 VALLEYCREEK RD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751812353",
"telephone_number": "214-272-9701",
"fax_number": "214-272-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 VALLEYCREEK RD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751812353",
"telephone_number": "214-272-9701",
"fax_number": "214-272-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODIE",
"first_name": "TEFFANY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "769439",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "769439",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "TX",
"license": "769439",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "TX",
"license": "769439",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.