Ellen Marguerite Rodenberger

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

75717 Issued in KS

Practice address

2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4526

Phone

(913) 299-3700

Fax

(913) 299-3050

NPI assigned

Aug 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1083960660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD",
            "address_2": "SUITE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094526",
            "telephone_number": "913-299-3700",
            "fax_number": "913-299-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD",
            "address_2": "SUITE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094526",
            "telephone_number": "913-299-3700",
            "fax_number": "913-299-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODENBERGER",
        "first_name": "ELLEN",
        "middle_name": "MARGUERITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "KS",
            "license": "75717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sondra Dee Robinson, LMSW
• Wyatt Robinson, DPT
• Tanner Robl, MD
• Brianne Renee Rockefeller, PA-C
• Melissa A Rockford, MD
• Nathan Rodger
• Jerry Leonard Rodgers III, MD
• Medea Lynn Rodina, APRN
• Judith A Rodman, LPC
• Andrew Rodriguez, MD

• Pediatric Clinical Nurse Specialist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Pediatric Clinical Nurse Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.