Kimberly A O'Dell, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

484204101 Issued in NY

Practice address

5697 Jennifer Dr E
Lockport, NY 14094-6007

Phone

(716) 909-9047

NPI assigned

May 25, 2012

Last updated

May 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1750641510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5697 JENNIFER DR E",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946007",
            "telephone_number": "716-909-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5697 JENNIFER DR E",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946007",
            "telephone_number": "716-909-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "484204101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvine Joy Ntiranyibagira, MPH
• Nutrition Insights PLLC
• Candice Nye
• Kimberly Ann Nye, LMT
• Andrea M O'Connor, MS.SPEDU/ASL
• Jillian Allessi O'Donnell, M.S. CCC/SLP
• Obot Asuquo Obot, REGISTERED NURSE
• Odd Fellow and Rebekah Rehabilitation and Health Care Center
• Heather Watt Odum, LMHC
• Katherine Ann Olson, PHARMD

• Specialist in Lockport, NY
• Providers in Lockport, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.