Odette Tiomo, A.P.N

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00514300 Issued in NJ

Practice address

2250 Chapel Ave W Ste 120
Cherry Hill, NJ 08002-2051

Phone

(856) 434-7441

Fax

(833) 916-1017

NPI assigned

Aug 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eleanor Health Professional NJ, LLCGroup PAC ID 3779904602, 15 clinicians

Eleanor Health Professional Oh, LLCGroup PAC ID 7618384447, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: odette.tiomo.1@21505.direct.athenahealth.com

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.

• Eleanor Health Professional Oh, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Akron, OH
  • NPI 1730782475
  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional NJ, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Cherry Hill, NJ
  • NPI 1790310738
  Medicare reassignment Care Compare group
• Molina Care Connections, LLC.

  dba Molina CC

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  OH

  Medicare reassignment NPD
• Talbert House

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1619900834
  Medicare reassignment NPD
• Mercy Health and Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Nutley, NJ
  • NPI 1356180442
  NPD Authorized official
• Equitas Health,Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1518227453
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1538578380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MARTIN LUTHER KING JR BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113216",
            "telephone_number": "513-887-8500",
            "fax_number": "513-737-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 CHAPEL AVE W STE 120",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022051",
            "telephone_number": "856-434-7441",
            "fax_number": "833-916-1017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Broadway",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071044309",
            "country_code": "US",
            "telephone_number": "973-483-1300",
            "fax_number": "973-483-3787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 S Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450113216",
            "country_code": "US",
            "telephone_number": "513-887-8500",
            "fax_number": "513-737-8196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Pompton Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070442950",
            "country_code": "US",
            "telephone_number": "862-292-2011",
            "fax_number": "833-606-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIOMO",
        "first_name": "ODETTE",
        "credential": "A.P.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18594",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.18594",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00514300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Tighe
• Stephanie N. Tighe, OT
• John Henry Tilden, PT
• Lyndon Sibug Timbang, P.T.
• Tinysteps Therapy LLC
• Tisot & Tisot
• Fredrick Joesph Tisot, D.D.S.
• Robert John Tisot, D.M.D.
• Titan RX
• Matthew Cornell Titus, DO

• Psychiatric/Mental Health Nurse Practitioner in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.