Casandra Odoms
Casandra Odoms is a Physician Assistant in Boise, Idaho. Qualified in 2025, 1 year ago. Practices with Ashley a Davis M.d.p.c., a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 1
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
222 N 2nd St Ste 204Boise, ID 83702-6130
Phone: (208) 429-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5271988 (ID) |
|---|
Record details
| NPI number | 1205516697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 20, 2023 |
| Last updated in NPPES | January 5, 2026 |
| Certification date | January 5, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Ashley A Davis M.D.P.C. — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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