Holly Kay Rodenberg, R.N., B.S.N

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

101663-030 Issued in WI

Practice address

N6520 Lumber Jack Guy Rd
Black River Falls, WI 54615

Phone

(715) 284-9851

NPI assigned

Dec 9, 2008

Sex

Female

Sole proprietor

No

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407091192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6520 LUMBER JACK GUY RD.",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "54615",
            "telephone_number": "715-284-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6520 LUMBER JACK GUY RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "54615",
            "telephone_number": "715-284-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODENBERG",
        "first_name": "HOLLY",
        "middle_name": "KAY",
        "credential": "R.N., B.S.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WI",
            "license": "101663-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Pleugers, M.A. LPC
• Jeffrey K Polzin, M.D.
• Patricia Popp, PTA
• Amy Prindle, P.A.
• Todd S Reich, D.D.S.
• Delbert W Rogers, M.D.
• Heather Meyer Rogers, OTR
• Kristina J Roou, APNP
• Carrie Rowan, PT
• Eric Douglas Rueb

• Community Health Registered Nurse in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Community Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.