Jill Fae Gage Rodolf, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

201141945RN Issued in OR

Practice address

151 W 7TH Ave Ste 210
Eugene, OR 97401-2676

Phone

(541) 731-2657

NPI assigned

Dec 28, 2011

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

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: jill.rodolf.p2@direct.lanecounty.nextgenshare.com

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1104195742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE STE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012676",
            "telephone_number": "541-731-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE STE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012676",
            "telephone_number": "541-731-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODOLF",
        "first_name": "JILL",
        "middle_name": "FAE GAGE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "201141945RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Roderick, M.A,, LPC INTERN
• Travis D Roderick
• Joanna Laurel Rodgers
• Rodney Schaffer MD PC
• Bridgett Mary Rodolf
• Timothy James Rodolf
• Rodrigo Physical Therapy and Wellness LLC
• Michael Tom Izar Rodrigo
• Lindsey Elizabeth Rodrigues, PTA
• Kyle Rodriguez Hudson, LPC

• Community Health Registered Nurse in Eugene, OR
• Providers in Eugene, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.