Individual provider Active NPI

Anne Patricia Odell, PHD, FNP-C, APRN

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1487979662
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
511451 Issued in CA
Practice address
99 63Rd PL #9
Long Beach, CA 90803-5692
Phone
(626) 841-8328
Fax
(562) 434-0388
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 511451 CA Primary

Addresses

Primary practice location

99 63Rd PL #9
Long Beach, CA 90803-5692

Mailing address

99 63Rd PL # 9
Long Beach, CA 90803-5692
Phone (626) 841-8328

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
511451CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ara Keshishian, a Professional Medical Corp Past Accepting new patients
Christy Anthony MD Inc PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1487979662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 63RD PL # 9",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035692",
            "telephone_number": "626-841-8328",
            "fax_number": "562-434-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 63RD PL #9",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035692",
            "telephone_number": "626-841-8328",
            "fax_number": "562-434-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "ANNE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PHD, FNP-C, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2024-02-07",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "511451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.