Annie Marie Rodman, MSN/FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN094835 AP1618 Issued in AZ

Practice address

1510 E Wagon Wheel LN
Suite 106
Fort Mohave, AZ 86426-6697

Phone

(928) 788-9378

Fax

(928) 788-9381

NPI assigned

Jan 10, 2011

Last updated

Jan 10, 2011By the provider in NPPES

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

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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

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  NPD (past)

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1275837932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E WAGON WHEEL LN",
            "address_2": "SUITE 106",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266697",
            "telephone_number": "928-788-9378",
            "fax_number": "928-788-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E WAGON WHEEL LN",
            "address_2": "SUITE 106",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266697",
            "telephone_number": "928-788-9378",
            "fax_number": "928-788-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "ANNIE",
        "middle_name": "MARIE",
        "credential": "MSN/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN094835 AP1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Hendrix, MD Inc (Hendrix Family Medicine)
• Ringtail Emergency Physicians
• Urmee Ripon, PHARMD
• Nicole Ann Roberts, FNP
• Rocky Mountain Holdings, LLC (TriState Care Flight)
• Jennifer Alicia Rodriguez
• Gary A Rosenberg, DPT
• Socorro Ruiz
• Safeway Inc (Safeway Pharmacy #1474)
• Scott I Boggs

• Family Nurse Practitioner in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.