Christopher R O'Donnell

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

59118 Issued in NM

Practice address

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808

Phone

(505) 717-1332

NPI assigned

Feb 3, 2020

Sex

Male

Sole proprietor

Yes

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.

• Heart & Soul of NM, Inc

  • Community/Behavioral Health Agency
  • Belen, NM
  • NPI 1922504117

  NM

  Medicare reassignment Care Compare group NPD
• GD Psych Services, LLC

  • Psychologist
  • Rio Rancho, NM
  • NPI 1801379433

  NM

  Medicare reassignment NPD
• Zia Community Cares, LLC

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1831710490

  NM, Psychiatric/Mental Health

  Medicare reassignment NPD
• Canu Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1053933721

  Psychiatric/Mental Health

  NPD Authorized official
• State of New Mexico

  • Nursing Facility/Intermediate Care Facility
  • Las Vegas, NM
  • NPI 1992867998

  NM

  Medicare reassignment
• Ruidoso Physical Therapy Clinic, Inc

  • Physical Therapist
  • Ruidoso, NM
  • NPI 1265498471
  NPD

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart and Soul of NM, Inc 19 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Christopher R Odonnell Other name

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1659902138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 CUTLER AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062511",
            "telephone_number": "505-690-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074808",
            "telephone_number": "505-717-1332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "High Desert Healing",
            "address_2": "4201 Carlisle Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87107",
            "country_code": "US",
            "telephone_number": "505-717-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "59118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "ODONNELL",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathy Jean O'Connor, MD
• Paige Reynolds O'Connor, PA-C
• Patrick John O'Connor, MD
• Shelly Ann O'Connor, R.T.(R)(ARRT)
• Maura Shea O'Docharty
• Sabrina O'Donnell
• Phyllis O'Gorman, PT
• Amy O'Herron
• Ruth Anne O'Keefe, M.D.
• Christine O'Leary

• All providers in Albuquerque, NM
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.