Kelley Roediger, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AG06180006 Issued in MO

Practice address

232 S Woods Mill Rd
Chesterfield, MO 63017-3406

Phone

(214) 434-1500

NPI assigned

Jun 11, 2018

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

State licenses

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1417440835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 DEERGRASS DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034629",
            "telephone_number": "314-814-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173406",
            "telephone_number": "214-434-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDIGER",
        "first_name": "KELLEY",
        "name_prefix": "Mrs.",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "AG06180006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Fusz Rodden, M.D.
• Linda Kay Rodenbaugh, D.C.
• Melissa L Rodgers, PNP
• Alfredo Luis Rodriguez Valera, MD
• Sarah Roe
• Dawn Marie Roemer, PNP
• Erin Roepke, MA, LPC
• Julie Marie Roesler, D.P.T.
• Lauren Roethemeyer
• Casey K Rogers, AU.D

• Adult Health Nurse Practitioner in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.