Deborah Carroll Odom, RN, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APN0000014662 Issued in TN

Practice address

2809 Middle Tennessee Blvd
Murfreesboro, TN 37130-7844

Phone

(615) 893-1615

NPI assigned

Mar 9, 2010

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

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.odom.1@29160.direct.athenahealth.com

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.

• Gethsemane Cardiovascular Clinic PLLC

  • Cardiovascular Disease Physician
  • Murfreesboro, TN
  • NPI 1356652200
  Medicare reassignment NPD
• Gethsemane Cardiovascular Clinic

  • Cardiovascular Disease Physician
  • Murfreesboro, TN
  • NPI 1407865785
  NPD (past)

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1437472115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 MIDDLE TENNESSEE BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371307844",
            "telephone_number": "615-893-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 MIDDLE TENNESSEE BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371307844",
            "telephone_number": "615-893-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "DEBORAH",
        "middle_name": "CARROLL",
        "name_prefix": "Miss",
        "credential": "RN, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000014662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Ijeoyibo Obioha
• Occupational Health Centers of the Southwest PA
• Occupational Health Centers of the Southwest, P.a.
• Occupational Health Centers of the Southwest, P.a.
• Genie Nkem Ochi
• Stephen G. Odom, M.D.
• Bradford Dennis Odum, OTRL
• Jessica Odum, M. ED., BCBA, LBA
• Mavis Oduro
• Verna Marie Ogata

• Acute Care Nurse Practitioner in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.