Kathy Odham, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP1426952 Issued in FL

Practice address

616 Universal Dr
Tallahassee, FL 32303-4787

Phone

(850) 385-1839

Fax

(850) 386-8371

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

John Ness MD PAGroup PAC ID 9032298518, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• John Ness MD PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1265605414
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1306802996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 UNIVERSAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034787",
            "telephone_number": "850-385-1839",
            "fax_number": "850-386-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 UNIVERSAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034787",
            "telephone_number": "850-385-1839",
            "fax_number": "850-386-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODHAM",
        "first_name": "KATHY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1426952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE",
            "identifier": "05232",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oasis Healthcare Solutions LLC
• David Jason Oberste, M.D.
• Walter Lawrence Ochalek, PHARMD
• Octave Behavioral PA
• Emmie Odham, APRN
• Annie D Odom
• Aria' Odom
• Maili Odom
• Jennifer Oetting, APRN
• Judy A Ognibene, M.D.

• Family Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.