Individual provider Active NPI

Ryan Odders, APRN, FNP-C

  • Family Nurse Practitioner
  • Marble Falls, TX
National Provider Identifier
1386220374
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029189 Issued in TX
Practice address
706 Avenue G
Marble Falls, TX 78654-5866
Phone
(830) 201-8900
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1029189 TX Primary

Addresses

Primary practice location

706 Avenue G
Marble Falls, TX 78654-5866

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

4202 Bayou Hollow Ln
Richmond, TX 77406-7219
Phone (817) 304-5031

Other practice location 2

6621 Fannin St
Houston, TX 77030-2399
Phone (832) 824-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rodders1142469@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20211130000060 TX Practitioner - Nurse Practitioner 6305236753 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1300 E Polk St
Baylor Scott and White Clinic Burnet
Burnet, TX 78611-2136
Phone (512) 715-6400

5330 Overpass Rd
Buda, TX 78610-2300

706 Ave G
Marble Falls, TX 78654-5866
Phone (830) 201-8900

810 W Hwy 71
Marble Falls Professional Services Group
Marble Falls, TX 78654-8602
Phone (830) 201-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince Sep 25, 2021 Accepting new patients
Scott & White Hospital - Marble Falls CurrentSince Nov 9, 2022 Accepting new patients
Scott & White Hospital - Marble Falls CurrentSince Nov 9, 2022 Accepting new patients
Scott & White Clinic CurrentSince Jun 26, 2023 Accepting new patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
Scott & White Clinic CurrentSince Jun 26, 2023 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Llano Regional Hospital Past Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1300 E Polk St
Burnet, TX 78611
Phone (512) 715-6400

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

706 Avenue G
Marble Falls, TX 78654
Phone (830) 201-8900

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1386220374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 AVENUE G",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545866",
            "telephone_number": "830-201-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4202 Bayou Hollow Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774067219",
            "country_code": "US",
            "telephone_number": "817-304-5031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6621 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302399",
            "country_code": "US",
            "telephone_number": "832-824-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODDERS",
        "first_name": "RYAN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rodders1142469@direct.sw.org",
            "affiliation": "N",
            "address_1": "706 Avenue G",
            "city": "Marble Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786545866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.