Kimberly Roddy, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004865 Issued in AR

Practice address

630 W Court St
Paragould, AR 72450-4247

Phone

(870) 236-6911

NPI assigned

Aug 25, 2016

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

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• Lawrence Memorial Hospital Hospital, Walnut Ridge, AR, CCN 041309
• St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkroddy@sbpc.medalliesdirect.net

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.

• St Bernards Physician Clinics Inc

  • Surgery Physician
  • Jonesboro, AR
  • NPI 1447923438

  AR

  Medicare reassignment Care Compare group NPD
• St Bernards Physician Clinics Inc

  • Diagnostic Radiology Physician
  • Jonesboro, AR
  • NPI 1780546051
  Care Compare group NPD
• St Bernards Physician Clinics, Inc.

  • Internal Medicine Physician
  • Jonesboro, AR
  • NPI 1407577216
  Care Compare group
• St Bernards Physician Clinics Inc

  • Primary Care Clinic/Center
  • Jonesboro, AR
  • NPI 1275204307
  NPD
• JPC Medical Inc

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1114974615
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Five Rivers Medical Center Inc.

  • General Acute Care Hospital
  • Pocahontas, AR
  • NPI 1528360989

  Hospital

  Care Compare affiliation
• Lawrence Memorial Health Foundation Inc.

  • Critical Access Hospital
  • Walnut Ridge, AR
  • NPI 1194724658

  Hospital

  Care Compare affiliation
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1467908970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1858",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724511858",
            "telephone_number": "870-476-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W COURT ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504247",
            "telephone_number": "870-236-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDY",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Robinson
• Kerrianna Robinson
• Robert K. Robinson, LPC
• Melani Robles
• Katesha Irene Roddy
• Bradly Stephen Rodery, OTR/L
• Kenneth Franklin Rodgers, MD
• Barbara N Rodrigues, MD
• Nahomi Rodriguez
• Talia Rodriguez

• All providers in Paragould, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.