Dana Odom

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

ARNP9310065 Issued in FL

Practice address

131 E Redstone Ave Ste 107
Crestview, FL 32539-5355

Phone

(850) 682-6320

Fax

(850) 682-6339

NPI assigned

Sep 14, 2016

Last updated

Oct 7, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHBJAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christopher MD & Associates, PA

  • Family Medicine Physician
  • Crestview, FL
  • NPI 1396879185
  Medicare reassignment NPD

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1942758446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E REDSTONE AVE STE 107",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395355",
            "telephone_number": "850-682-6320",
            "fax_number": "850-682-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E REDSTONE AVE STE 107",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395355",
            "telephone_number": "850-682-6320",
            "fax_number": "850-682-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9310065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LISENSE",
            "identifier": "ARNP9310065",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Center, Inc. (U.S. Hearing Solutions)
• Northwest Florida Diabetes & Nutrition Center, LLC
• Angel A Nunez, MD
• Nursetel
• Devin O'Hara, D.O.
• Okaloosa Cardiology P a
• Okaloosa Emergency Group LLC
• Okaloosa Eye Care PA
• Okaloosa Ophthalmology Pediatric & Adult Eye Care
• Okaloosa Ophthalmology Pediatric & Adult Eye Care (Vizyon Optical)

• Primary Care Nurse Practitioner in Crestview, FL
• Providers in Crestview, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.