Emmie Odham, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11029927 Issued in FL

Practice address

616 Universal Dr
Tallahassee, FL 32303-4787

Phone

(850) 385-7047

NPI assigned

Jul 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2023

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

State licenses

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
• Julie Kelch MD PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972776128
  NPD

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1316625635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 EARL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093660",
            "telephone_number": "850-491-0313"
        },
        {
            "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": "850-385-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODHAM",
        "first_name": "EMMIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029927",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9494566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly O'Toole, RN-BC
• Oasis Healthcare Solutions LLC
• David Jason Oberste, M.D.
• Walter Lawrence Ochalek, PHARMD
• Octave Behavioral PA
• Kathy Odham, ARNP
• Annie D Odom
• Aria' Odom
• Maili Odom
• Jennifer Oetting, APRN

• 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 Dec 6, 2023; 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.