Individual provider Active NPI

Laura Odiorne

  • Registered Nurse
  • Bedford, TX
National Provider Identifier
1891314043
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
856301 Issued in TX
Practice address
313 Oak Shadow Cir
Bedford, TX 76021-4138
Phone
(817) 909-1304
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 856301 TX Primary

Addresses

Primary practice location

313 Oak Shadow Cir
Bedford, TX 76021-4138

Mailing address

313 Oak Shadow Cir
Bedford, TX 76021-4138
Phone (817) 909-1304

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Kantime

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

LicenseStateTypeSpecialty
856301TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1891314043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 OAK SHADOW CIR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214138",
            "telephone_number": "817-909-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 OAK SHADOW CIR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214138",
            "telephone_number": "817-909-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIORNE",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "856301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kantime",
            "affiliation": "N",
            "endpointDescription": "Electronic medical record",
            "address_1": "313 Oak Shadow Cir",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760214138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.