Miranda Odegard, RN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

236747 Issued in AZ

Practice address

1500 S Mill Ave
Tempe, AZ 85281-6699

Phone

(480) 784-5500

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1477272094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 E CAMINO CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073145",
            "telephone_number": "480-758-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816699",
            "telephone_number": "480-784-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEGARD",
        "first_name": "MIRANDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "236747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cailin McCollough Ockert, M.S, BCBA
• Elaine Mary Oconnor, LMT
• Gayrene Ocuaman
• Melinda Lee Odabash, FNP-BC
• Maribeth Kitma Odango, FNP
• Lanny L Oden, C-FA
• John Nathan Oechsner, PHARMD
• Christina Ngozi Ofili, RPH
• Kim Oge, ATC
• Jodi Lee Ohnick, LCHW

• Acute Care Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.