Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Wayne Odendahl, NP

Individual provider Adult Health Nurse Practitioner · NPI 1811977846

Keith Wayne Odendahl, NP is a Nurse Practitioner in Baton Rouge, Louisiana. Qualified in 2000, 26 years ago. Practices with Convenient Care LLC, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
26
Licensed in
LA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

7777 Hennessy Blvd SUITE1000
Baton Rouge, LA 70808-4300
Phone: (225) 767-3900
Fax: (225) 214-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5439 Airline Hwy, Baton Rouge, LA 70805-1712 — (225) 358-4853

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP03719 (LA)

Record details

NPI number1811977846
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Convenient Care Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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