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AMY REBECCA ODOM NP NPI 1750863726


NPI Information

NPI: 1750863726
Provider Name: AMY REBECCA ODOM, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
5955 AIRPORT BLVD
MOBILE, AL
ZIP 36608
Phone: (251) 633-0573
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Amy Rebecca Odom, NP is a gerontology nurse practitioner in Mobile, AL with 6 years of experience. Amy Rebecca Odom, NP NPI is 1750863726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5955 AIRPORT BLVD
MOBILE, AL
ZIP 36608-135
Phone: (251) 633-0573
Fax: (251) 633-7367

The NPI 1750863726 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Interpretation and report of electrical activity of heart using 1-3 leads (HCPCS:93042)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 9/5/2018 and was last updated on 2/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care1-140750ALABAMANo
2363LG0600XNurse PractitionerGerontology1-140750ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1224261MEDICAIDALABAMA
2512-17406OTHERALABAMABCBS OF AL
3A03845AOTHERALABAMAMEDICARE
4225622MEDICAIDALABAMA
5512-17405OTHERALABAMABCBS OF AL
6630799312OTHERALABAMAHUMANA CHOICECARE
7Z54984OTHERALABAMAVIVA HEALTH
86297709OTHERALABAMAAETNA
9P02140037OTHERALABAMARR MEDICARE
1005331824MEDICAIDMISSISSIPPI
11223807MEDICAIDALABAMA
12225017MEDICAIDALABAMA
13225084MEDICAIDALABAMA
14512-17400OTHERALABAMABCBS OF AL
15512-17403OTHERALABAMABCBS OF AL
16512-17404OTHERALABAMABCBS OF AL
176906123OTHERALABAMAUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.