Individual provider Active NPI

Wendy Kay Odell, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1477588457
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
052987 Issued in TX
Practice address
5327 N Central Expy Ste 200
IV Anesthesia
Dallas, TX 75205-3345
Phone
(214) 520-8235
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN589065 TX
Certified Registered Nurse Anesthetist 367500000X 052987 TX Primary

Addresses

Primary practice location

5327 N Central Expy Ste 200
IV Anesthesia
Dallas, TX 75205-3345

Mailing address

500 County Road 1953
Yantis, TX 75497-3916
Phone (903) 383-7445

Other identifiers 2

IdentifierTypeStateIssuer
162479302MedicaidTX
85063UOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Ms. Wendy Kay Hart Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031119000871 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981508298 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Team Texas PAGroup PAC ID 6507888757, 27 clinicians

Practice addresses (Care Compare)

1545 E Southlake Blvd
Suite 100
Southlake, TX 76092-6465
Phone (817) 442-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
052987TXMDCertified Registered Nurse Anesthetist
RN589065TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Anesthesia Partners, PLLC CurrentSince Jan 1, 2017 Accepting new patients
Spine Team Texas PA CurrentSince Jun 1, 2018 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2014 Accepting new patients
Spine Team Texas, PA CurrentSince Jun 1, 2018 Accepting new patients
Etap Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Asf Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Sleepy Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

5327 N Central Expy
Ste 200
Dallas, TX 75205
Phone (214) 520-8235

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1545 E Southlake Blvd
Ste 100
Southlake, TX 76092

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1477588457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COUNTY ROAD 1953",
            "city": "YANTIS",
            "state": "TX",
            "postal_code": "754973916",
            "telephone_number": "903-383-7445",
            "fax_number": "903-383-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 N CENTRAL EXPY STE 200",
            "address_2": "IV ANESTHESIA",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053345",
            "telephone_number": "214-520-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "WENDY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "RN589065",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "052987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162479302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85063U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "HART",
            "middle_name": "KAY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.