Individual provider Active NPI

Teffany Odie, RN

  • Registered Nurse
  • Mesquite, TX
National Provider Identifier
1134486483
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
769439 Issued in TX
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

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
769439TXMDPain Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.