Melissa Odom, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN197735 Issued in AZ

Practice address

343 N. Carlisle Ave.
Somerton, AZ 85350-3200

Phone

(928) 341-6000

Fax

(928) 341-6090

NPI assigned

Feb 2, 2024

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1902669989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3200",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853503200",
            "telephone_number": "928-341-6000",
            "fax_number": "928-341-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 N. CARLISLE AVE.",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853503200",
            "telephone_number": "928-341-6000",
            "fax_number": "928-341-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "MELISSA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN197735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Moreno
• Jose L. Munoz, M.D.
• New Vision Behavioral Health & Wellness LLC
• Vincent Nicasio Jr.
• David Ongaga Nyakundi
• Katarina Lea Olea
• Ruth M Olin, M.E.
• Alejandrina Orpineda, NP
• Maria Isabel Ortiz
• Laxman Dutta Paneru, MD

• School Registered Nurse in Somerton, AZ
• Providers in Somerton, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.