Individual provider Active NPI

Deborah Lynn Rodman, APRN

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1316450703
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2281 Issued in HI
Practice address
5140 NE Antioch Rd
Kansas City, MO 64119-2502
Phone
(816) 756-2825
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2281 HI Primary

Addresses

Primary practice location

5140 NE Antioch Rd
Kansas City, MO 64119-2502

Mailing address

5140 NE Antioch Rd
Kansas City, MO 64119-2502
Phone (816) 756-2825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220729000364 KS Practitioner - Nurse Practitioner 6002298635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2281HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Pain Relief LLC Family CurrentSince May 1, 2022 Accepting new patients

Locations

14876 Metcalf Ave
Overland Park, KS 66223
Phone (913) 808-5245

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316450703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 NE ANTIOCH RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192502",
            "telephone_number": "816-756-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 NE ANTIOCH RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192502",
            "telephone_number": "816-756-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.