Ella Elizabeth Roden, RN CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

1925731 Issued in NY

Practice address

713 Eichybush Rd
Kinderhook, NY 12106-2605

Phone

(518) 758-1572

Fax

(518) 758-6595

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356455166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 EICHYBUSH RD",
            "city": "KINDERHOOK",
            "state": "NY",
            "postal_code": "121062605",
            "telephone_number": "518-758-1572",
            "fax_number": "518-758-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 EICHYBUSH RD",
            "city": "KINDERHOOK",
            "state": "NY",
            "postal_code": "121062605",
            "telephone_number": "518-758-1572",
            "fax_number": "518-758-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN",
        "first_name": "ELLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "1925731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinderhook Nutrition, LLC
• Kristin Meldrim
• Neal a Baillargeon
• Neal a. Bailalrgeon M.D.F.a.a.F.P
• Philip a Gilly MD PLLC
• Carolyn M. Seaman, PH. D.
• Lauren Nicole Stinson-Hamel, RD
• Kelly Vanallen-Braswell, RD

• All providers in Kinderhook, NY
• Diabetes Educator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.