MRS. SONDRA DENISE ODOM (NPI# 1477073393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477073393 |
| Entity Type | Individual |
| Full Name | MRS. SONDRA DENISE ODOM |
| Credential | NP |
| Practice Address |
6347 Red Oak Drive Bailey MS 39320 |
| Mailing Address |
6347 Red Oak Dr Bailey MS 39320-9301 |
| Practice Telephone | (601) 917-7904 |
| Mailing Telephone | 6019177904 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
902049 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6347 RED OAK DRIVE |
| City | BAILEY |
| State | MS |
| Zip Code | 39320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902139322 | Bridget M Smith | Nurse Practitioner | 9221 Cook Rd, Bailey, MS 39320-9516 | 2009-09-16 |
| 1073091963 | Brandon Gary Allen | Registered Nurse | 3601b Espey Hedgepeth Rd, Bailey, MS 39320-9580 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960922 | Warrior Tree Counseling, LLC | Community/Behavioral Health | 29 Bluebird Ln, Bailey, CO 80421-2005 | 2020-10-18 |
| 1730713124 | Just 4 Today Services, Inc | In Home Supportive Care | 6291 E Main Street, Bailey, NC 27807 | 2020-02-25 |
| 1437709284 | American Medical Home Health Services - Denver LLC | Home Health | 47 El Lobo Ln, Bailey, CO 80421 | 2019-09-13 |
| 1689136699 | Amy Elizabeth Vann | Counselor | 58 Bristlecone Cir, Bailey, CO 80421-1202 | 2019-04-01 |
| 1992279384 | Jared Smith, Professional LLC | Dentist | 17 County Road 68, Bailey, CO 80421 | 2019-01-18 |
| 1154898344 | Justin Anthony Borman | Physical Therapy Assistant | 2815 Moore Rd, Bailey, MI 49303-9604 | 2018-10-26 |
| 1316446529 | Tiffany C. L. Bowden | Psychologist | 7341 Windy Ct W, Bailey, NC 27807 | 2018-02-03 |
| 1982127429 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 12362 Oak Ave, Bailey, NC 27807 | 2017-07-17 |
| 1205361755 | Melanie Kennedy | Day Training, Developmentally Disabled Services | 93 Ranchettes Rd, Bailey, CO 80421-2051 | 2017-04-21 |
| 1245779537 | Exploring Inner Peace LLC | Social Worker | 60615 Us Hwy 285, Suite 206, Bailey, CO 80421 | 2017-02-20 |
| Find all providers in BAILEY | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
| 1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
| 1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
| 1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
| 1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
| 1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
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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.