HEATHER DAWN O'DELL (NPI# 1992078380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992078380 |
| Entity Type | Individual |
| Full Name | HEATHER DAWN O'DELL |
| Other Name | HEATHER DAWN MOORE |
| Credential | FNP |
| Practice Address |
10003 Webster Rd Camden On Gauley WV 26208-7713 |
| Mailing Address |
95 Black Oak Rd Summersville WV 26651-4612 |
| Practice Telephone | 3042265725 |
| Practice Fax Number | 3042263274 |
| Mailing Telephone | 3048729077 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
60194 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518076470 | Heather Maureen O'dell | Counselor | 206 Travis Ave, Saluda, SC 29138-1224 | 2006-08-30 |
| 1215212592 | Heather W O'dell | Registered Nurse | 1313 21st Ave S, Suite 801, Oxford House, Nashville, TN 37232-4753 | 2011-10-18 |
| Street Address |
10003 WEBSTER RD |
| City | CAMDEN ON GAULEY |
| State | WV |
| Zip Code | 26208-7713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749244 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-0069 | 2005-12-05 |
| 1386242600 | Tricia Dawn Simpkin | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2020-10-09 |
| 1861049686 | Seth Nathaniel Hamrick | Dentist | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-08-26 |
| 1932752078 | Holly Fitzwater | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-07-18 |
| 1477010932 | Katherine Samples | Social Worker | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-02-20 |
| 1285128272 | Daonna Autumn Fox | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2018-06-21 |
| 1184147522 | Anna Marie Philpott | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-07-18 |
| 1891236873 | Misty James | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-03-10 |
| 1184169666 | Shawna Cogar | Social Worker | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-12-20 |
| 1639611452 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083715528 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 18116 Webster Road, Craigsville, WV 26208 | 2006-09-26 |
| 1871633727 | Camden On Gauley Medical Center Inc | Clinical Medical Laboratory | 10003 Webster Road, Camden On Gauley, WV 26208-0000 | 2007-02-08 |
| 1801935242 | Camden On Gauley Medical Center Inc | Pharmacist | 10003 Webster Rd., Camden On Gauley, WV 26208-0069 | 2007-02-05 |
| 1134184211 | Kimberly J Angus | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2006-04-20 |
| 1003089905 | Milissa K Short | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2008-04-11 |
| 1376712893 | Crystal Rose Taylor | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2008-02-28 |
| 1568661064 | Crystal Marie Hickman Rodebaugh | Family Medicine | 10003 Webster Road, Camden-on-gauley, WV 26208-3702 | 2007-07-13 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134184211 | Kimberly J Angus | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2006-04-20 |
| 1386242600 | Tricia Dawn Simpkin | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2020-10-09 |
| 1932752078 | Holly Fitzwater | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-07-18 |
| 1285128272 | Daonna Autumn Fox | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2018-06-21 |
| 1184147522 | Anna Marie Philpott | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-07-18 |
| 1891236873 | Misty James | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-03-10 |
| 1922468529 | Jennifer Truman | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-02-25 |
| 1003203316 | Nicole Radabaugh | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2015-04-24 |
| 1033519558 | Kara Holdren | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2014-09-03 |
| 1629403563 | Jennifer Rose Durham | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2013-09-11 |
| Find all providers in CAMDEN ON GAULEY | ||||
| City | CAMDEN ON GAULEY |
| Zip Code | 26208 |
Please comment or provide details below to improve the information on HEATHER DAWN O'DELL.
| 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.