NPI age
9 years
Enumerated 2017-04-25
● Active
Type 1 · Individual
MRS. Kimberley Helen Odom, FNP
Odom is 1 of 123 nurse practitioner providers in Meridian and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Practice location
1550 N Crestmont Drive, Suite G
Meridian, ID 83642
Mailing address
1550 N Crestmont Dr Ste G
Meridian, ID 836422177
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 4 new nurse practitioner providers have been added in Meridian in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.