Individual provider Active NPI

Jodi Mooney-Roe, BSN, RN

  • Registered Nurse
  • Bowling Green, OH
National Provider Identifier
1396653812
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
205732 Issued in OH
Practice address
710 Kenwood Ave
Bowling Green, OH 43402-3705
Phone
(419) 354-0500
NPI assigned
Aug 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 205732 OH Primary

Addresses

Primary practice location

710 Kenwood Ave
Bowling Green, OH 43402-3705

Mailing address

710 Kenwood Ave
Bowling Green, OH 43402-3705
Phone (419) 354-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1396653812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 KENWOOD AVE",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023705",
            "telephone_number": "419-354-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KENWOOD AVE",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023705",
            "telephone_number": "419-354-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY-ROE",
        "first_name": "JODI",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "205732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.