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Active NPI 1598007668 Individual Practitioner Female Practitioner

Lisa Nicole Odom

Pediatrics • Spokane Valley, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Odom is a certified Pediatrics practicing in Spokane Valley, WA. With approximately 13 years of clinical experience since graduating from University Of Colorado School Of Medicine, Aurora in 2013, Lisa Odom delivers high-quality medical care to the local community at 16528 E DESMET CT STE B1000.

Lisa Odom is affiliated with Dirne Health Centers, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

16528 E Desmet Ct Ste B1000

Spokane Valley, WA 992163522

Telephone 5099448770
Fax 5099448856

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Aurora

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Spokane Valley, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +1.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
22 Specialists

Practicing in Spokane Valley, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Odom (13 Years) 13 Yrs
Spokane Valley Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD70024994

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License ID M-13382

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospital & Practice Group Affiliations

Dirne Health Centers, Inc.

1106 W Ironwood Dr, Coeur D Alene, ID 838142480

Secondary Practice Locations

1090 W Park Pl

Coeur D Alene, ID 838142785

Phone: 2082152005

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Ponrat Pakpreo , MD

Pediatrics - Adolescent Medicine

NPI 1023050200

Doctor of Medicine (M.D.)

Jeffrey King , MSW

Social Worker - Clinical

NPI 1124289269

Master of Social Work

Nicole Hardy , RN, MSN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1205110095

Registered Nurse, Master of Science in Nursing, CPNPPC

NPI 1538949037

Doctor of Medicine (M.D.)

NPI 1912054339

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 11, 2025

Registered at 16528 E DESMET CT STE B1000, SPOKANE VALLEY, WA 992163522 (Tel: 5099448770)

📍
Updated Business Mailing Address August 11, 2025

Registered at POB 31001-4114, PASADENA, CA 911104114 (Tel: 8667472455)

📍
Updated Business Mailing Address December 25, 2020

Registered at PO BOX 1387, HAYDEN, ID 838351387 (Tel: 2084150299)

NPI Profile Active August 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2016

Registered at 1090 W PARK PL, COEUR D ALENE, ID 838142785 (Tel: 2086205250)

📍
Updated Business Mailing Address August 02, 2016

Registered at 6795 N MINERAL DR, COEUR D ALENE, ID 838158700 (Tel: 2086205200)

👤
Provider Name / Credentials Updated August 02, 2016

Recorded as LISA ODOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2016

Pediatrics (License #M-13382 in ID)

🟢
Initial NPI Registration & Enumeration March 26, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598007668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2013
Last Update: August 11, 2025
Sole Proprietor: No

Mailing Address

Pob 31001-4114

Pasadena, CA 911104114

Phone: 8667472455

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.