Individual provider Active NPI

Helen Palumbo Odland, MD

  • Family Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1841485596
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29241 Issued in MN
Practice address
2431 Hennepin Ave So
Uptown Community Clinic Neighborhood Involvement Progra
Minneapolis, MN 55405
Phone
(612) 374-4089
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29241 MN Primary

Addresses

Primary practice location

2431 Hennepin Ave So
Uptown Community Clinic Neighborhood Involvement Progra
Minneapolis, MN 55405

Mailing address

433 South Owasso Blvd West
Roseville, MN 55113-2121
Phone (651) 482-9397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 18, 2018 through Sep 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29241MNMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1841485596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 SOUTH OWASSO BLVD WEST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132121",
            "telephone_number": "651-482-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 HENNEPIN AVE SO",
            "address_2": "UPTOWN COMMUNITY CLINIC NEIGHBORHOOD INVOLVEMENT PROGRA",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55405",
            "telephone_number": "612-374-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLAND",
        "first_name": "HELEN",
        "middle_name": "PALUMBO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "29241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.