Jennifer E Roudybush, RN, OMS

Primary specialty

Ostomy Care Registered NurseTaxonomy code 163WX1500X

License

127413 Issued in KS

Practice address

2331 Tuttle Creek Blvd
Manhattan, KS 66502-4462

Phone

(785) 537-4940

Fax

(785) 537-0836

NPI assigned

Apr 13, 2022

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

Practice roles

Locations

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.

• Centerpointe Physicians PA

  • Internal Medicine Physician
  • Manhattan, KS
  • NPI 1316439086
  NPD

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1124760640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 TUTTLE CREEK BLVD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024462",
            "telephone_number": "785-537-4940",
            "fax_number": "785-537-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 TUTTLE CREEK BLVD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024462",
            "telephone_number": "785-537-4940",
            "fax_number": "785-537-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUDYBUSH",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "RN, OMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "KS",
            "license": "127413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Rosenow
• Felipe Rosso, M.D.
• Melissa K Rosso, MD
• Gena Marie Rossow, MA, CCC-SLP
• Rottinghaus Eye Care, P.a.
• Daniel Glen Rouland, APRN
• Susan Roviaro, PHD
• Almaz G Rufael, MS RD LD
• Kevin P Ruggle, AU.D.
• Jennifer Rena Runge, FNP-C

• Registered Nurse in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.