Individual provider Active NPI

Laura Lynn Odom, FNP

  • Family Nurse Practitioner
  • San Angelo, TX
National Provider Identifier
1528436243
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129056 Issued in TX
Practice address
34 Buick St
San Angelo, TX 76901-4730
Phone
(325) 947-5631
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 AP129056 TX Primary

Addresses

Primary practice location

34 Buick St
San Angelo, TX 76901-4730

Mailing address

34 Buick St
San Angelo, TX 76901-4730
Phone (325) 947-5625

Other practice location 1

35 E 31st St
San Angelo, TX 76903-2207
Phone (325) 658-5339

Other practice location 2

1610 S Chadbourne St
San Angelo, TX 76903-8510
Phone (325) 658-5339

Other names 1

  • Laura Lynn Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160315001582 TX Practitioner - Nurse Practitioner 1759687965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Esperanza Clinic IncGroup PAC ID 7416942933, 13 clinicians

Practice addresses (Care Compare)

34 Buick St
San Angelo, TX 76901-4730
Phone (325) 658-5339

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Esperanza Clinic, Inc. CurrentSince Jan 26, 2016 Accepting new patients
La Esperanza Clinic Inc Current Accepting new patients
La Esperanza Clinic, Inc. CurrentSince Jan 26, 2016 Accepting new patients

Locations

1610 S Chadbourne St
San Angelo, TX 76903
Phone (325) 658-5339

2029 W Beauregard Ave
San Angelo, TX 76901
Phone (325) 658-5339

35 E 31st St
San Angelo, TX 76903
Phone (325) 658-5339

34 Buick St
San Angelo, TX 76901
Phone (325) 658-5339

Interoperability endpoints

  • Direct secure messaging: lodom22321@shannonhealth.direct-ci.com

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1528436243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BUICK ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014730",
            "telephone_number": "325-947-5625",
            "fax_number": "325-947-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BUICK ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014730",
            "telephone_number": "325-947-5631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 E 31st St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769032207",
            "country_code": "US",
            "telephone_number": "325-658-5339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 S Chadbourne St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769038510",
            "country_code": "US",
            "telephone_number": "325-658-5339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ALLEN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.