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

Odia O'Dela Russette, FNP

Individual provider Nurse Practitioner · NPI 1205292968

Odia O'Dela Russette, FNP is a Nurse Practitioner in Texarkana, Texas. Qualified in 2015, 11 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2600 Saint Michael Dr
Texarkana, TX 75503-5220
Phone: (903) 614-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1920 Galleria Oaks Dr, Texarkana, TX 75503-4619 — (903) 792-6114
  • 800 E Dawson St, Tyler, TX 75701-2036 — (903) 606-7264

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP129999 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP129999 (TX)

Record details

NPI number1205292968
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 12, 2016
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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