Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ruby Odamtten, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1871161695

Ruby Odamtten, PMHNP-BC is a Nurse Practitioner in Longwood, Florida. Qualified in 2021, 5 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

587 E State Road 434 Unit 1025
Longwood, FL 32750-5284
Phone: (407) 775-0248
Fax: (321) 282-1448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 Eslinger Way, Sanford, FL 32773-6188 — (407) 665-1301

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11013701 (FL)

Record details

NPI number1871161695
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 17, 2021
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address587 E State Road 434 Unit 1025, Longwood, FL 32750-5284

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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