Suzanne Marie Thorne-Odem, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AC006131 Issued in MD

Practice address

811 Ritchie Hwy Ste 15
Severna Park, MD 21146-4130

Phone

(410) 995-9993

NPI assigned

Jun 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Solace Mental Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Severna Park, MD
  • NPI 1740884931
  NPD

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1821471673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 JEFFERSON DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031334",
            "telephone_number": "269-967-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RITCHIE HWY STE 15",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464130",
            "telephone_number": "410-995-9993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223031334",
            "country_code": "US",
            "telephone_number": "269-967-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNE-ODEM",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176693",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1047903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704155645",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC006131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Services of Tracy Carter, M.S., L.C.P.C., L.L.C.
• Therapy Solutions for Children, Inc.
• Jesvin Thomas, PHARMD
• Kailiah Thomas, LCSW-C
• Louis E Thomas III, DDS
• Jennifer Thorpe, PH.D.
• Barry Frank Tilles, O.D.
• Heather L Tracy, LCPC
• Ryan David Tracy, LCPC
• Mackenzie Trafka, RBT

• Family Nurse Practitioner in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.