NPIMap

Individual provider Active NPI

Amelia Rose Odom, LVN, IBCLC

  • Lactation Consultant (Non-RN)
  • Dallas, TX
National Provider Identifier
1699251603
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
97282 Issued in TX
Practice address
8325 Walnut Hill LN Ste 225
Dallas, TX 75231-4263
Phone
(214) 691-3535
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 97282 TX Primary

Addresses

Primary practice location

8325 Walnut Hill LN Ste 225
Dallas, TX 75231-4263

Mailing address

8325 Walnut Hill LN Ste 225
Dallas, TX 75231-4263

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
97282TXMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Cookies and Milk Lactation Services, LLC Lactation Consultant, Non-RN Current Accepting new patients
Pediatricians of Dallas, PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1699251603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 WALNUT HILL LN STE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 WALNUT HILL LN STE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314263",
            "telephone_number": "214-691-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "AMELIA",
        "middle_name": "ROSE",
        "credential": "LVN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TX",
            "license": "97282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.