ODYSSEY ENTERPRISES LLC
NPI 1699514711
Nurse Practitioner in Bloomington, IN
- Organization
- Nurse Practitioner
About ODYSSEY ENTERPRISES LLC
This page provides the complete NPI Profile along with additional information for Odyssey Enterprises Llc, a provider established in Bloomington, Indiana operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1699514711 assigned on May 2024. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated July 2026. Odyssey Enterprises Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. James Penticuff Jr. (Managing Member)
- NPI
- 1699514711 Verify this NPI
- Provider Name
- ODYSSEY ENTERPRISES LLC
- Entity Type
- Organization
- Location Address
- 2550 S FLAT ROCK RD BLOOMINGTON, IN 47403
- Location Phone
- (317) 349-7680
- Location Fax
- (833) 975-0724
- Mailing Address
- 2550 S FLAT ROCK RD BLOOMINGTON, IN 47403
- Mailing Phone
- (317) 349-7680
- Mailing Fax
- (833) 975-0724
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2024
- Last Update Date
- 07-14-2026
- Code Navigator
A nurse practitioner (NP) like Odyssey Enterprises Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699514711, enumerated as an "organization" on May 20, 2024.
The provider is located at 2550 S FLAT ROCK RD BLOOMINGTON, IN 47403 and the phone number is (317) 349-7680.
Nurse Practitioner with taxonomy code 363L00000X.
