Individual provider Active NPI

Lolita Alanna Odie

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1710512744
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP142785 Issued in TX
Practice address
2121 SW 36TH St
San Antonio, TX 78237-3360
Phone
(210) 358-5100
NPI assigned
Mar 10, 2020
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142785 TX
Gerontology Nurse Practitioner 363LG0600X AP142785 TX Primary

Addresses

Primary practice location

2121 SW 36TH St
San Antonio, TX 78237-3360

Mailing address

PO Box 734812
Dallas, TX 75373-4812
Phone (210) 358-9500

Other practice location 1

7726 Louis Pasteur Dr
San Antonio, TX 78229-3402
Phone (210) 358-8820

Other practice location 2

4647 Medical Dr
San Antonio, TX 78229-4403
Phone (210) 358-5510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lodie25386@uhssa.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20200407003051 TX Practitioner - Nurse Practitioner 6103255450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

7726 Louis Pasteur Dr
San Antonio, TX 78229-3402
Phone (210) 358-8820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142785TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Pain Management Specialists CurrentSince Mar 4, 2021 Accepting new patients

Locations

2121 SW 36th St
San Antonio, TX 78237
Phone (210) 358-5100

4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710

7726 Louis Pasteur Dr
San Antonio, TX 78229
Phone (210) 575-3327

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: lodie25386@uhssa.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1710512744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734812",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734812",
            "telephone_number": "210-358-9500",
            "fax_number": "210-358-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SW 36TH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373360",
            "telephone_number": "210-358-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7726 Louis Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293402",
            "country_code": "US",
            "telephone_number": "210-358-8820",
            "fax_number": "210-358-8143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4647 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294403",
            "country_code": "US",
            "telephone_number": "210-358-5510",
            "fax_number": "210-358-8536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODIE",
        "first_name": "LOLITA",
        "middle_name": "ALANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142785",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP142785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lodie25386@uhssa.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4647 Medical Dr",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782294403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.