ASHLEY ODOM (NPI# 1750824470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750824470 |
| Entity Type | Individual |
| Full Name | ASHLEY ODOM |
| Practice Address |
5003 Winter Garden Pkwy Fort Pierce FL 34951-2031 |
| Practice Telephone | 7722070566 |
| Mailing Telephone | 7722070566 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
813994458 | FL | Ambulatory Health Care Facilities |
| Street Address |
5003 WINTER GARDEN PKWY |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34951-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306398516 | Lesa Mitchell | Community Health Worker | 6036 Indrio Rd Apt 5, Ft Pierce, FL 34951 | 2016-11-04 |
| 1073832176 | Itd Associates, P.a. | Dentist | 4832 N. Kings Highway, Fort Pierce, FL 34951 | 2010-05-28 |
| 1366779605 | Susan Theresa Mullanack | Homeopath | 4695 Seminole Road, Fort Pierce, FL 34951 | 2009-11-06 |
| 1881601631 | Caryn L Morrison | Optometrist | 1302 Sw St Lucie West Blvd, Port St Lucie, FL 34951 | 2006-08-02 |
| 1396851622 | Sally J Collodi-swart | Nurse Practitioner | 1900 Se Port St Lucie Blvd, Port St Lucie Blvd, FL 34951 | 2006-08-21 |
| 1962640417 | Rufus Sands | Respite Care | 7502 Paso Robles Blvd, Fort Pierce, FL 34951-1131 | 2009-01-21 |
| 1558800615 | April Weigand | Physical Therapy Assistant | 7304 Paso Robles Blvd, Fort Pierce, FL 34951-1134 | 2017-02-21 |
| 1528531472 | Rakevah Wilson | Case Manager/Care Coordinator | 7005 Paso Robles Blvd, Fort Pierce, FL 34951-1223 | 2019-01-03 |
| 1619574605 | Doll Babys Home Care Inc | Clinic/Center | 7005 Paso Robles Blvd, Fort Pierce, FL 34951-1223 | 2020-10-03 |
| 1366922122 | Precious Health Care Services Inc. | Home Health | 7003 Brookline Ave, Fort Pierce, FL 34951-1232 | 2018-08-20 |
| Find all providers in zip 34951 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947834 | Changing Strides Community Services Inc | Clinic/Center | 130 S Indian River Dr Ste 242, Fort Pierce, FL 34950-4353 | 2020-09-19 |
| 1982220695 | Peace of Mind Homecare Solutions of The Palm Beaches LLC | Clinic/Center | 412 Se Faith Ter, Fort Pierce, FL 34983-3242 | 2020-06-18 |
| 1720623051 | Nikeshas Loving Touch Inc | Clinic/Center | 1800 Oleander Blvd, Fort Pierce, FL 34950-8157 | 2019-11-11 |
| 1265083232 | Leona M. Kelly | Clinic/Center | 710 N 20th St Apt A, Fort Pierce, FL 34950-6105 | 2019-09-21 |
| 1134602691 | Christy Woods | Clinic/Center | 3209 Hibiscus Ave, Fort Pierce, FL 34947-7240 | 2018-09-11 |
| 1518449206 | Care One Support LLC | Clinic/Center | 2609 Navajo Ave, Fort Pierce, FL 34946-1729 | 2018-08-30 |
| 1285128488 | A and R Non Emergency Medical Transportation Service LLC | Clinic/Center | 2140 N Us Highway 1, Fort Pierce, FL 34946-8993 | 2018-06-20 |
| 1740770528 | Empowering Supportive Care Inc | Clinic/Center | 2620 S 29th St Apt B, Fort Pierce, FL 34981-5592 | 2018-05-16 |
| 1063920882 | Gayleann King | Clinic/Center | 2901 Avenue D, Fort Pierce, FL 34947-2663 | 2018-01-15 |
| 1285147207 | A Caring Alternative Healthcare Inc | Clinic/Center | 2134 N Us Highway 1, Fort Pierce, FL 34946-8993 | 2017-11-13 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34951 |
Please comment or provide details below to improve the information on ASHLEY ODOM.
| 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.