Active NPI
Tamara Ann Odums, SUD
- Addiction (Substance Use Disorder) Counselor
- Visalia, CA
National Provider Identifier
1871211136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13802
- Practice address
- 320 W Oak Ave
Visalia, CA 93291-4929 - Phone
- (559) 625-3420
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13802 | CA | Primary |
Addresses
Primary practice location
320 W Oak Ave
Visalia, CA 93291-4929
Mailing address
320 W Oak Ave
Visalia, CA 93291-4929
Phone (559) 256-3420
Other names 1
- Tammy Gilstrap
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13802 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1871211136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W OAK AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914929",
"telephone_number": "559-256-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W OAK AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914929",
"telephone_number": "559-625-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUMS",
"first_name": "TAMARA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "SUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "13802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "GILSTRAP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.