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ANNIE D ODOM
NPI 1043844202
Home Health Aide in Tallahassee, FL

Active since February 26, 2020
2257 CLARA KEE BLVD, TALLAHASSEE, FL 32303(850) 405-0109 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2023, Dec 25, 2022, Nov 28, 2022 and 4 more (7 updates tracked since 2020).

About Annie D Odom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNIE D ODOM (NPI 1043844202) is an individual home health aide in Tallahassee, Florida, licensed in Florida (115567) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1043844202
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameANNIE D ODOM
Location Address2257 CLARA KEE BLVDTallahassee, FL 32303-7135
Mailing Address2413 Raymond Diehl Rd Apt 2Tallahassee, FL 32309-3628 · (850) 692-4300 · Fax (850) 668-8329
Phone(850) 405-0109
Sole ProprietorNo
Enumeration DateFebruary 26, 2020
Last NPPES UpdateJuly 10, 20237 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1043844202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in FL · 115567
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X · License 115567 (FL)
Also ListedHomemakerTaxonomy 376J00000X · License 235755 (FL)
2257 CLARA KEE BLVD, Tallahassee, FL 32303
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Other Identifiers 3

Medicaid012409200FL
Medicaid39970618FL
Medicaid115567FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMPERIAL GUARDIAN LLC
Home Health Aide
2257 CLARA KEE BLVD
TALLAHASSEE, FL 32303
Leon County (850) 692-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annie Odom's NPI number?

The NPI number for Annie Odom is 1043844202. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Annie Odom located?

Annie Odom practices at 2257 Clara Kee Blvd, Tallahassee, FL 32303. The listed phone number is (850) 405-0109.

What is Annie Odom's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Annie Odom was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.