Active NPI
Tammy Jolene Odell, AU.D.
- Audiologist
- Colorado Springs, CO
National Provider Identifier
1982869541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 266
- Practice address
- 3920 N Union Blvd
Suite 310
Colorado Springs, CO 80907-4900 - Phone
- (719) 574-6653
- Fax
- (719) 574-2778
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 266 | CO | Primary |
Addresses
Primary practice location
3920 N Union Blvd
Suite 310
Colorado Springs, CO 80907-4900
Mailing address
3920 N Union Blvd
Suite 310
Colorado Springs, CO 80907-4900
Phone (719) 574-6653
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Center for Otolaryngology, Professional LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Colorado Springs, CO
- NPI 1164421582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1982869541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 N UNION BLVD",
"address_2": "SUITE 310",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074900",
"telephone_number": "719-574-6653",
"fax_number": "719-574-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 N UNION BLVD",
"address_2": "SUITE 310",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074900",
"telephone_number": "719-574-6653",
"fax_number": "719-574-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "TAMMY",
"middle_name": "JOLENE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.