Active NPI
Christine Odell, PHD, ATC
- Athletic Trainer
- Denver, CO
National Provider Identifier
1164889986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-753
- Practice address
- 1201 5TH Street
Msu Denver
Denver, CO 80204 - Phone
- (303) 556-3148
- NPI assigned
- Jan 25, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-753 | CO | Primary |
Addresses
Primary practice location
1201 5TH Street
Msu Denver
Denver, CO 80204
Mailing address
PO Box 173362
Msu Denver Campus Box 25
Denver, CO 80217-3362
Phone (303) 556-3148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT-753 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-753 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1164889986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173362",
"address_2": "MSU DENVER CAMPUS BOX 25",
"city": "DENVER",
"state": "CO",
"postal_code": "802173362",
"telephone_number": "303-556-3148",
"fax_number": "303-556-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 5TH STREET",
"address_2": "MSU DENVER",
"city": "DENVER",
"state": "CO",
"postal_code": "80204",
"telephone_number": "303-556-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "CHRISTINE",
"credential": "PHD, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "AT-753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "AT-753",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.