Active NPI
Deborah Lynn Odle, R.N.
- Registered Nurse
- Lecanto, FL
National Provider Identifier
1174711394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2500172
- Practice address
- 2804 W Marc Knighton CT Ste a
Lecanto, FL 34461-6301 - Phone
- (352) 746-8000
- NPI assigned
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2500172 | FL | Primary |
Addresses
Primary practice location
2804 W Marc Knighton CT Ste a
Lecanto, FL 34461-6301
Mailing address
680 E Connecticut LN
Hernando, FL 34442-4751
Phone (352) 270-3333
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 |
|---|---|---|---|
| 2500172 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1174711394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 E CONNECTICUT LN",
"city": "HERNANDO",
"state": "FL",
"postal_code": "344424751",
"telephone_number": "352-270-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 W MARC KNIGHTON CT STE A",
"city": "LECANTO",
"state": "FL",
"postal_code": "344616301",
"telephone_number": "352-746-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODLE",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "2500172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.