Individual provider Active NPI

Nyquita Roddick

  • Nurse's Aide
  • Goldsboro, NC
National Provider Identifier
1124898465
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
429113 Issued in NC
Practice address
501 Patetown Rd Ste 14
Goldsboro, NC 27530-5570
Phone
(919) 910-0186
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 429113 NC Primary

Addresses

Primary practice location

501 Patetown Rd Ste 14
Goldsboro, NC 27530-5570

Mailing address

501 Patetown Rd Ste 14
Goldsboro, NC 27530-5570
Phone (919) 910-0186

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
429113NCMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Home Care Agency Nurse'S Aide CurrentSince Jan 1, 2024 Accepting new patients
Trinity Home Care Agency CurrentSince May 19, 2024 Accepting new patients

Locations

501 Patetown Rd
Ste 14
Goldsboro, NC 27530
Phone (919) 910-0186

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1124898465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PATETOWN RD STE 14",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305570",
            "telephone_number": "919-910-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PATETOWN RD STE 14",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305570",
            "telephone_number": "919-910-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDICK",
        "first_name": "NYQUITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "429113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.