Individual provider Active NPI

Kristen Michelle Odell, N.D. , PA-C

  • Naturopath
  • Bedford, NH
National Provider Identifier
1679711550
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
69 Issued in NH
Practice address
169 S River Rd Unit 4
Bedford, NH 03110-6934
Phone
(603) 660-9677
NPI assigned
Jan 30, 2009
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00986300 NJ
Naturopath 175F00000X 69 NH Primary

Addresses

Primary practice location

169 S River Rd Unit 4
Bedford, NH 03110-6934

Mailing address

115 N Ohio Ave
Long Beach Township, NJ 08008-2858
Phone (603) 660-9677

Other practice location 1

115 N Ohio Ave
Long Beach Township, NJ 08008-2858
Phone (603) 660-9677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
69NHMDMarriage & Family Therapist
25MP00986300NJMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1679711550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N OHIO AVE",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080082858",
            "telephone_number": "603-660-9677",
            "fax_number": "603-294-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 S RIVER RD UNIT 4",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106934",
            "telephone_number": "603-660-9677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Ohio Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach Township",
            "state": "NJ",
            "postal_code": "080082858",
            "country_code": "US",
            "telephone_number": "603-660-9677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODELL",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "N.D. , PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00986300",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NH",
            "license": "69",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.