Active NPI 1942758446 Individual Practitioner Female Practitioner

Dana Odom

Nurse Practitioner - Primary Care • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Dana Odom is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Crestview, FL. Practice services are available at 131 E REDSTONE AVE STE 107 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

131 E Redstone Ave Ste 107

Crestview, FL 325395355

Telephone 8506826320

Fax 8506826339

Associated Practice Facility / Clinic

🏢 Indumathi Md And Associates Pa Facility NPI 1407735244

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Crestview, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.0 Yrs

State Avg: 7.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Crestview, FL (1099 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License FL ARNP9310065

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Arnp Lisense

ARNP9310065 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Indumathi Christopher , MD

Family Medicine - Geriatric Medicine

NPI 1467453613

Doctor of Medicine (M.D.)

Michelle Koralewski , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1487333613

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2016

Registered at 131 E REDSTONE AVE STE 107, CRESTVIEW, FL 325395355 (Tel: 8506826320)

📍

Updated Business Mailing Address October 07, 2016

Registered at 131 E REDSTONE AVE STE 107, CRESTVIEW, FL 325395355 (Tel: 8506826320)

👤

Provider Name / Credentials Updated October 07, 2016

Recorded as DANA ODOM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2016

Nurse Practitioner (License #ARNP9310065 in FL)

🟢

Initial NPI Registration & Enumeration September 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1942758446

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 14, 2016

Last Update: October 07, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

131 E Redstone Ave Ste 107

Crestview, FL 325395355

Phone: 8506826320

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.