Martine Burdett Rodgers, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002910 Issued in CA

Practice address

3033 Campus Dr Ste W225
Plymouth, MN 55441-2752

Phone

(415) 504-3838

Fax

(415) 504-1367

NPI assigned

Aug 18, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: martine.rodgers.1@30520.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1104292705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 CAMPUS DR STE W225",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412752",
            "telephone_number": "415-504-3838",
            "fax_number": "415-504-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 CAMPUS DR STE W225",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412752",
            "telephone_number": "415-504-3838",
            "fax_number": "415-504-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "MARTINE",
        "middle_name": "BURDETT",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016918600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Robillard, L.AC.
• Steven B Robin, MD
• Holly Robinson, LICSW
• Samantha Robinson
• Stephen William Robinson Sr., DDS,MSD
• Yolonda Yvette Rogers, LICSW
• Roman Health Services LLC Limited Liability Company
• Kaitlyn M Roseman, PA-C
• Jesse Rossow, O.D.
• John M Rozman, FNP

• Family Nurse Practitioner in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.