MS. LYNNE E. ODELL NP PSYCHIATRY NPI 1962499756

NPI Information

NPI: 1962499756
Provider Name: MS. LYNNE E. ODELL, NP PSYCHIATRY
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
133 CAMBRIDGE STREET
SYRACUSE, NY
ZIP 13210
Phone: (315) 218-5963
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MS. Lynne E. Odell, NP PSYCHIATRY is a psychiatric/mental health nurse practitioner in Syracuse, NY with 26 years of experience. MS. Lynne E. Odell, NP PSYCHIATRY NPI is 1962499756. 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:

133 CAMBRIDGE STREET
SYRACUSE, NY
ZIP 13210-205
Phone: (315) 218-5963
Fax: (315) 218-5963

The NPI 1962499756 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 enumeration date for this NPI number is 10/5/2005 and was last updated on 3/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		2547141	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	332404	NEW YORK	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	400498	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300298007	OTHER		VALUE OPTIONS PIN
2	500021448	OTHER		MEDICARE RAILROAD
3	00011447	OTHER		UBH PROV NUMBER
4	094387546	OTHER		POMCO
5	500021448	OTHER		MEDICARE RAILROAD ELDER MEDICAL
6	F4004981	OTHER		NPP
7	02218871	MEDICAID	NEW YORK
8	155190	OTHER		VALUE OPTIONS
9	CC2142	OTHER		MEDICARE
10	BA0346	OTHER		MEDICARE NUMBER HOTZER ENTERPRISES
11	11378483	OTHER		CAQH
12	5825	OTHER		TOTAL CARE ID
13	328380	OTHER		MENTAL HEALTH NETWORK
14	6227587	OTHER		UN HEALTH CARE SERV PROVIDER NUMBER
15	02218871	OTHER	NEW YORK	MEDICAID ELDER MEDICAL
16	2547141	OTHER		RN
17	328380	OTHER		MANAGED HEALTH NETWORK
18	500014206	OTHER		MEDICARE RAILROAD
19	711721	OTHER		MVP
20	F3324040	OTHER		FNP
21	0809365	OTHER		CIGNA
22	50001405	OTHER		MEDICARE RAILROAD CHHHC

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: 5/5/2024

NPI Synchronization or Removal

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.

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