Amber Renee Odom, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT05816 Issued in TX

Practice address

2560 King Arthur Blvd Ste 124-1
Lewisville, TX 75056-5921

Phone

(469) 223-2602

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Amber Odom Nutrition, LLC

  • Registered Dietitian
  • Lewisville, TX
  • NPI 1437801636

  Dietitian, Registered

  NPD Authorized official
• Worksite Wellness Partners

  • Registered Dietitian
  • Alpharetta, GA
  • NPI 1861000192

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1568064673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 KING ARTHUR BLVD STE 124-1",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565921",
            "telephone_number": "469-223-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 KING ARTHUR BLVD STE 124-1",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565921",
            "telephone_number": "469-223-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurturing Roots LLC
• Ellen J O'Connell, MD
• Michael Dennis O'Shea, PH.D.
• Occupational Health Centers of the Southwest, P.a.
• Ochsner Health Partners Hospital
• Odyssey Staffing
• Ellen Ogden, PA-C
• John G. Ogden, M.D.
• Gary Arthur Ogin, M.D.
• Reagan Ohearn

• Registered Dietitian in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.