Stephanie Jennie Roddenberry, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137613 Issued in TX

Practice address

5 Grogans Park Dr
The Woodlands, TX 77380-2189

Phone

(727) 335-3325

NPI assigned

Mar 8, 2018

Last updated

May 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Rehab Consultants PLLC

  dba Comprehensive Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  Family, TX

  Medicare reassignment Care Compare group NPD
• Cait Care Providers PLLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1114685708
  Medicare reassignment NPD
• Mark G Goss MD PA

  • Surgery Physician
  • Decatur, TX
  • NPI 1699711721
  NPD
• Guard Healthcare Systems LLC

  • Physiological Laboratory
  • Arlington, TX
  • NPI 1437797610
  NPD (past)

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1649772377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 DAMERON DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GROGANS PARK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802189",
            "telephone_number": "727-335-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDENBERRY",
        "first_name": "STEPHANIE",
        "middle_name": "JENNIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9342824",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390412001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8KE822",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savitri Tillery Robinson, FNP
• Carolyn Robistow, M.ED., LPC
• Liliana Robles, MD
• Rock Surgical Group PA
• Janel Rodas-Banker
• Alexa Rodrigue, PA-C
• Amanda Rodriguez, M.S., CCC-SLP
• John C Rogers, M.D.
• Kathryn Biles Rogers, M.A., CCC-A
• Ron B Rogers, D.D.S., M.S.

• Family Nurse Practitioner in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.