Oddeth Root, MSN, RN-BC, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

462492 Issued in TX

Practice address

431 Fulton St
Fort Worth, TX 76104-2214

Phone

(817) 336-0754

Fax

(817) 336-0651

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1215945522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 FULTON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042214",
            "telephone_number": "817-336-0754",
            "fax_number": "817-336-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 FULTON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042214",
            "telephone_number": "817-336-0754",
            "fax_number": "817-336-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "ODDETH",
        "name_prefix": "Ms.",
        "credential": "MSN, RN-BC, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "462492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elora Ronaldes, M.ED., LPC-ASSOCIATE
• Ryan Guillermo Ronces
• George Luis Rondon, LCSW
• Rooster Medical Equipment & Supplies
• Root and Ember Counseling PLLC
• Rooted Therapies, PLLC
• Rophe Wellness Inc.
• Ferran Ros, D.O.
• Julie Rosado, PT
• Raquel Rosado, LVN

• Gerontology Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.