Active NPI
Melody A Burda-Rodgers, RN CCM
- Case Management Registered Nurse
- Troy, MI
National Provider Identifier
1316658818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 1078669
- Practice address
- 3001 W Big Beaver Rd Ste 210
Troy, MI 48084-3103 - Phone
- (800) 477-2057
- NPI assigned
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 1078669 | KY | Primary |
Addresses
Primary practice location
3001 W Big Beaver Rd Ste 210
Troy, MI 48084-3103
Mailing address
11004 Oliverda Dr
Louisville, KY 40272-4443
Phone (502) 599-8836
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1078669 | KY | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1316658818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11004 OLIVERDA DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402724443",
"telephone_number": "502-599-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W BIG BEAVER RD STE 210",
"city": "TROY",
"state": "MI",
"postal_code": "480843103",
"telephone_number": "800-477-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDA-RODGERS",
"first_name": "MELODY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RN CCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "KY",
"license": "1078669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.