Active NPI
June D Roderick, N.P.
- Adult Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1356669519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11353
- Practice address
- 3355 Lenox Rd NE
Suite 750
Atlanta, GA 30326-1394 - Phone
- (888) 393-9616
- Fax
- (258) 366-9616
- NPI assigned
- May 12, 2010
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11353 | OH | Primary |
Addresses
Primary practice location
3355 Lenox Rd NE
Suite 750
Atlanta, GA 30326-1394
Mailing address
1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (888) 393-9616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11353 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Louisiana LLC | Current | Accepting new patients | |
| Advanced Geriatric Education & Consulting,LLC | Past | Accepting new patients |
Locations
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
4405 Airline Dr
Bossier City, LA 71111
Phone (318) 424-5449
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
100 Kingston Rd
Sulphur, LA 70663
Phone (318) 446-1667
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1538399704
-
- Internal Medicine Physician
- Sulphur, LA
- NPI 1982285060
-
- Gerontology Nurse Practitioner
- Loveland, OH
- NPI 1801054267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1356669519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 DULLES DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063718",
"telephone_number": "888-393-9616",
"fax_number": "258-366-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 LENOX RD NE",
"address_2": "SUITE 750",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261394",
"telephone_number": "888-393-9616",
"fax_number": "258-366-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODERICK",
"first_name": "JUNE",
"middle_name": "D",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "11353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.