Individual provider Active NPI

June D Roderick, N.P.

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1356669519
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11353 Issued in OH
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

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000469 LA Practitioner - Nurse Practitioner 5597895631 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11353OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Louisiana LLC CurrentSince Apr 16, 2012 Accepting new patients
Advanced Geriatric Education & Consulting,LLC PastSince Jun 27, 2016 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.