MICHELLE O'DELL (NPI# 1699278218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699278218 |
| Entity Type | Individual |
| Full Name | MICHELLE O'DELL |
| Practice Address |
1775 Piedmont Dr Concord CA 94519-1235 |
| Mailing Address |
Po Box 5157 Modesto CA 95352-5157 |
| Practice Telephone | 7077843097 |
| Practice Fax Number | 7074286542 |
| Mailing Telephone | 2095722589 |
| Mailing Fax Number | 2095721461 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 106S00000X | Behavior Technician | 17-45631 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294585 | Michelle Lynn O'dell | Homemaker | 1614 S Kanawha St, Beckley, WV 25801-6239 | 2020-10-30 |
| Street Address |
1775 PIEDMONT DR |
| City | CONCORD |
| State | CA |
| Zip Code | 94519-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581949 | Kristian Dee Arthur Williams | Behavior Technician | 1335 North Dutton Rd, Concord, CA 94519 | 2019-01-03 |
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
| 1548637184 | Nicole Marie Ortega | Dental Hygienist | 3185 Claudia Drive, Concord, CA 94519 | 2015-08-31 |
| 1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
| 1013332287 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3711 Lindero Dr, Concord, CA 94519 | 2014-02-25 |
| 1144548017 | Joanna Christine Costello | Social Worker | 1861 Silverwood Dr., Concord, CA 94519 | 2010-05-17 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1912171968 | Brian Richard Sheaff | Dentist | 1945 Parkside Drive, Concord, CA 94519 | 2008-04-21 |
| 1073706156 | Fruida D Tchekra | Counselor | 3024 Willow Pass Road, Concord, CA 94519 | 2007-08-22 |
| Find all providers in zip 94519 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814504 | Katia L Mosley | Student in an Organized Health Care Education/Training Program | 2730 Kay Ave, Concord, CA 94520-4730 | 2020-09-01 |
| 1003425679 | Kiera Emery | Student in an Organized Health Care Education/Training Program | 1218 Hydrangea Cir Nw, Concord, NC 28027-7250 | 2020-07-29 |
| 1598386823 | Cameron Neilson | Student in an Organized Health Care Education/Training Program | 1245 Pine Creek Way Apt B, Concord, CA 94520-3647 | 2020-04-28 |
| 1114547742 | Alyssa Marie Bernat | Student in an Organized Health Care Education/Training Program | 4493 Oakbrook Ct, Concord, CA 94521-4407 | 2020-04-23 |
| 1487297016 | Sajjad Bidar | Student in an Organized Health Care Education/Training Program | 3838 Clayton Rd Apt 203, Concord, CA 94521-2564 | 2019-10-27 |
| 1699316315 | Brendan Cacciola | Student in an Organized Health Care Education/Training Program | 484 Josiah Bartlett Rd, Concord, NH 03301-5928 | 2019-10-03 |
| 1336792142 | Jillian Gori | Student in an Organized Health Care Education/Training Program | 3 S Main St Apt 46, Concord, NH 03301-4802 | 2019-07-21 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1134780182 | Elizabeth Duval | Student in an Organized Health Care Education/Training Program | 20 Foxcross Cir, Concord, NH 03301-6920 | 2019-06-20 |
| 1194281857 | Jaimelee Marie Roberts | Student in an Organized Health Care Education/Training Program | 1441 Detroit Ave Apt 252, Concord, CA 94520-3548 | 2019-02-18 |
| Find all providers in CONCORD | ||||
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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.