1. Home
  2. Directory
  3. New York
  4. Williamsville
  5. Licensed Practical Nurse
  6. NPI Profile

MR. LARRY ODOM
NPI 1205258225
Licensed Practical Nurse in Williamsville, NY

Active since January 09, 2014
238 TEAKWOOD TER, WILLIAMSVILLE, NY 14221(716) 400-9339 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Larry Odom NPPES

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

MR. LARRY ODOM (NPI 1205258225) is an individual licensed practical nurse in Williamsville, New York, licensed in New York (301415-1) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1205258225
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. LARRY ODOM
Location Address238 TEAKWOOD TERWilliamsville, NY 14221-4737
Mailing Address238 Teakwood TerWilliamsville, NY 14221-4737 · (716) 400-9339
Phone(716) 400-9339
Sole ProprietorYes
Enumeration DateJanuary 9, 2014
✔ NPI 1205258225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 301415-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
238 TEAKWOOD TER, Williamsville, NY 14221
Open in Google Maps ↗

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 Larry Odom's NPI number?

The NPI number for Larry Odom is 1205258225. It was assigned to this individual provider in the NPPES registry on January 9, 2014.

Where is Larry Odom located?

Larry Odom practices at 238 Teakwood Ter, Williamsville, NY 14221. The listed phone number is (716) 400-9339.

What is Larry Odom's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Larry Odom was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.