Individual provider Active NPI

Lynette Lubay Roldan, RN

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1194608562
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN500025208 Issued in DC
Practice address
915 Rhode Island Ave NW
Washington, DC 20001-4153
Phone
(202) 232-6100
Fax
(202) 644-7024
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 978961 NY
Registered Nurse 163W00000X RN500025208 DC Primary

Addresses

Primary practice location

915 Rhode Island Ave NW
Washington, DC 20001-4153

Mailing address

3208 Porter St NW
Washington, DC 20008-3211
Phone (202) 536-6466

Other practice location 1

3208 Porter St NW
Washington, DC 20008-3211
Phone (202) 536-6466

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN500025208DCMDRegistered Nurse
978961NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Children's Center CurrentSince Sep 8, 2025 Accepting new patients

Locations

915 Rhode Island Ave NW
Washington, DC 20001
Phone (202) 232-6100

Organizations & group practices 1

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": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1194608562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 PORTER ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083211",
            "telephone_number": "202-536-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 RHODE ISLAND AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014153",
            "telephone_number": "202-232-6100",
            "fax_number": "202-644-7024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3208 Porter St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200083211",
            "country_code": "US",
            "telephone_number": "202-536-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "LYNETTE",
        "middle_name": "LUBAY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "978961",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN500025208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.