Individual provider Active NPI

Barron Nicholas Roddey, APRN

  • Acute Care Nurse Practitioner
  • Tarpon Springs, FL
National Provider Identifier
1033745211
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11006384 Issued in FL
Practice address
1181 Anclote Rd Lot 35
Tarpon Springs, FL 34689-6642
Phone
(727) 946-1074
NPI assigned
Mar 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11006384 FL Primary

Addresses

Primary practice location

1181 Anclote Rd Lot 35
Tarpon Springs, FL 34689-6642

Mailing address

1181 Anclote Rd Lot 35
Tarpon Springs, FL 34689-6642
Phone (727) 946-1074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11006384FLMDAcute Care Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1033745211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 ANCLOTE RD LOT 35",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896642",
            "telephone_number": "727-946-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 ANCLOTE RD LOT 35",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896642",
            "telephone_number": "727-946-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDEY",
        "first_name": "BARRON",
        "middle_name": "NICHOLAS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11006384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.