BEATRICE ODERO (NPI# 1194358754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194358754 |
| Entity Type | Individual |
| Full Name | BEATRICE ODERO |
| Practice Address |
3727 Mill Lake Dr Marietta GA 30060-6273 |
| Practice Telephone | 4049039997 |
| Mailing Telephone | 4049039997 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN198072 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3727 MILL LAKE DR |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-6273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402910 | Augusta Williams | Nurse Practitioner | Attn: Augusta Williams, 2131 Kingston Court Suite 108, Marietta, GA 30067-8929 | 2019-08-12 |
| 1134727696 | Julie Nicole Polcyn | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-15 |
| 1710595988 | Chinwe Okafor | Nurse Practitioner | 1277 Kennestone Cir, Marietta, GA 30066-6029 | 2020-07-14 |
| 1497372080 | Trisha Leigh Bail | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-29 |
| 1912460601 | Jasmine Young | Nurse Practitioner | 1640 Powers Ferry Rd Se Ste 330, Marietta, GA 30067-5491 | 2019-04-09 |
| 1720543432 | Lacy Marie Workman | Nurse Practitioner | 401 Matthew St, Marietta, OH 45750-1635 | 2019-02-06 |
| 1598240822 | Maima Fortune | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2018-10-02 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1295275949 | Tanya Camiela Dunkley | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2017-02-28 |
| 1801151592 | Amanda J. Green | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2012-07-09 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.