Individual provider Active NPI

Odessa Hernandez, FNP

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1649645797
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130956 Issued in TX
Practice address
707 N Myrtle St
Georgetown, TX 78626-4319
Phone
(512) 784-6767
Fax
(512) 784-6767
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 AP130956 TX Primary

Addresses

Primary practice location

707 N Myrtle St
Georgetown, TX 78626-4319

Mailing address

707 N Myrtle St
Georgetown, TX 78626-4319
Phone (512) 784-6767

Other practice location 1

1038 E Brokaw Rd # 30
San Jose, CA 95131-2309
Phone (512) 784-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160229002210 GA Practitioner - Nurse Practitioner 7618272667 Reassigns benefits to 4 organizations
I20220322002774 TX Practitioner - Nurse Practitioner 7618272667 Reassigns benefits to 2 organizations
I20250110001798 CA Practitioner - Nurse Practitioner 7618272667 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
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

1300 N la Brea Ave
Los Angeles, CA 90028-7504
Phone (323) 464-1336

13303 Riverside Dr
Sherman Oaks, CA 91423-2508
Phone (818) 722-3230

14550 Soledad Canyon Rd
Suite 100
Canyon Country, CA 91387-2200
Phone (661) 488-7402

14743 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3641
Phone (818) 647-6850

18700 Ventura Blvd
Suite 220
Tarzana, CA 91356-6317
Phone (747) 307-3323

19346 Nordhoff St
Northridge, CA 91324-2415
Phone (818) 727-2040

20201 Rinaldi St
Suite 110
Northridge, CA 91326-4938
Phone (747) 444-4901

2090 Westwood Blvd
Los Angeles, CA 90025-6329
Phone (213) 814-4070

215 N Allen Ave
Pasadena, CA 91106-1601
Phone (626) 817-9002

2300 Wilshire Blvd
Suite 104
Santa Monica, CA 90403-5863
Phone (424) 416-7900

23341 Mulholland Dr
Woodland Hills, CA 91364-2734
Phone (818) 637-0048

242 S Robertson Blvd
Beverly Hills, CA 90211-2811
Phone (310) 652-2300

25548 The Old Rd
Suite U1
Stevenson Ranch, CA 91381-1705
Phone (661) 556-9020

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

269 S San Pedro St
Los Angeles, CA 90012-3808
Phone (213) 947-3600

35 W Los Angeles Ave
Moorpark, CA 93021-1820
Phone (805) 529-5370

359 Carmen Dr
Camarillo, CA 93010-6033
Phone (805) 914-5592

4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355

424 W Broadway
Glendale, CA 91204-1209
Phone (818) 796-5396

6440 Platt Ave
West Hills, CA 91307-3216
Phone (818) 946-1103

701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400

7077 Willoughby Ave
Suite 3
Los Angeles, CA 90038-2396
Phone (323) 826-5333

725 S Pacific Coast Hwy
Redondo Beach, CA 90277-4226
Phone (424) 296-3100

8000 W Sunset Blvd
Suite C110
Los Angeles, CA 90046-2439
Phone (213) 412-0400

9900S Interstate 35
Austin, TX 78748-3885
Phone (512) 291-5577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130956TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Emergency Group, LLC Nurse Practitioner CurrentSince May 1, 2016 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Feb 10, 2016 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Travis County Emergency Physicians PA CurrentSince Mar 17, 2022 Accepting new patients
Coweta Emergency Group LLC Nurse Practitioner CurrentSince Jun 14, 2017 Accepting new patients
Exer Medical Corporation CurrentSince Dec 1, 2024 Accepting new patients
Georgia Em-I Medical Services PC Nurse Practitioner CurrentSince Oct 16, 2017 Accepting new patients
Georgia Em-I Medical Services, LLC Nurse Practitioner CurrentSince Oct 16, 2017 Accepting new patients
Georgia Em-I Medical Services. LLC Nurse Practitioner Current Accepting new patients
Alaska Imaging Associates, LLC Past Accepting new patients
Action Urgent Care Inc PastSince Dec 8, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

11126 Chandler Blvd
North Hollywood, CA 91601
Phone (818) 432-8300

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1649645797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N MYRTLE ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264319",
            "telephone_number": "512-784-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MYRTLE ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264319",
            "telephone_number": "512-784-6767",
            "fax_number": "512-784-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1038 E Brokaw Rd # 30",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951312309",
            "country_code": "US",
            "telephone_number": "512-784-6767",
            "fax_number": "669-500-7491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ODESSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.