Individual provider Active NPI

April J Odom, NP

  • Family Nurse Practitioner
  • Flossmoor, IL
National Provider Identifier
1467983486
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000369 Issued in IL
Practice address
19740 Governors Hwy Ste 116
Flossmoor, IL 60422-2085
Phone
(708) 607-2503
Fax
(788) 200-3824
NPI assigned
Mar 22, 2017
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277000369 IL Primary
Registered Nurse 163W00000X 041369139 IL

Addresses

Primary practice location

19740 Governors Hwy Ste 116
Flossmoor, IL 60422-2085

Mailing address

19740 Governors Hwy Ste 116
Flossmoor, IL 60422-2085
Phone (708) 607-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170605002582 IL Practitioner - Nurse Practitioner 8820365315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Physicals Plus, IncGroup PAC ID 2961731609, 2 clinicians

Practice addresses (Care Compare)

19740 Governors Hwy
Suite 116
Flossmoor, IL 60422-2085
Phone (708) 607-2503

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041369139ILMDRegistered Nurse
277000369ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jun 9, 2017 Accepting new patients
Physicals Plus, Inc CurrentSince Apr 7, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 9, 2017 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

19740 Governors Hwy
Ste 116
Flossmoor, IL 60422
Phone (708) 607-2503

21160 S La Grange Rd
Frankfort, IL 60423
Phone (815) 412-8809

4740 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-4334

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1467983486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19740 GOVERNORS HWY STE 116",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222085",
            "telephone_number": "708-607-2503",
            "fax_number": "778-200-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19740 GOVERNORS HWY STE 116",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222085",
            "telephone_number": "708-607-2503",
            "fax_number": "788-200-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "APRIL",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000369",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041369139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.