KAITLYN MARIE ODDO FNP-C NPI 1457044083

NPI Information

  • NPI: 1457044083
  • Provider Name: KAITLYN MARIE ODDO, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2805 DODD RD STE 100
    EAGAN, MN
    ZIP 55121
  • Phone: (651) 241-7733

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NPI Details

Kaitlyn Marie Oddo, FNP-C is a family nurse practitioner in Eagan, MN with 3 years of experience. Kaitlyn Marie Oddo, FNP-C NPI is 1457044083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

2805 DODD RD STE 100
EAGAN, MN
ZIP 55121-160
Phone: (651) 241-7733

The NPI 1457044083 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 5/30/2023 and was last updated on 12/28/2023.

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
1363L00000XNurse Practitioner10356MINNESOTANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3363LF0000XNurse PractitionerFamily10356MINNESOTAYes

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: 11/21/2025

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