Individual provider Active NPI

Lynnette Jewel Carrens, WHNP

  • Women's Health Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1386603207
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Practice address
405 N Tom Green Ave
Odessa, TX 79761-5145
Phone
(432) 580-9876
Fax
(432) 580-9877
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X TX
Women's Health Nurse Practitioner 363LW0102X TX Primary

Addresses

Primary practice location

405 N Tom Green Ave
Odessa, TX 79761-5145

Mailing address

405 N Tom Green Ave
Odessa, TX 79761-5145
Phone (432) 580-9876

Other identifiers 2

IdentifierTypeStateIssuer
R56311OtherNMCERTIFIED NURSE PRACTITIO
1434540MedicaidTX

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1386603207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N TOM GREEN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615145",
            "telephone_number": "432-580-9876",
            "fax_number": "432-580-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N TOM GREEN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615145",
            "telephone_number": "432-580-9876",
            "fax_number": "432-580-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRENS",
        "first_name": "LYNNETTE",
        "middle_name": "JEWEL",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIO",
            "identifier": "R56311",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1434540",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.