Roddia Jennise Paul, LPA

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

A0666 Issued in MD

Practice address

3001 Branch Ave Apt 616
Hillcrest Heights, MD 20748-1018

Phone

(202) 910-6109

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1659960995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BRANCH AVE APT 616",
            "city": "HILLCREST HEIGHTS",
            "state": "MD",
            "postal_code": "207481018",
            "telephone_number": "202-910-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BRANCH AVE APT 616",
            "city": "HILLCREST HEIGHTS",
            "state": "MD",
            "postal_code": "207481018",
            "telephone_number": "202-910-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "RODDIA",
        "middle_name": "JENNISE",
        "name_prefix": "Ms.",
        "credential": "LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "MD",
            "license": "A0666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rion D Blagrove, DDS
• Tamara Patrese Gary
• Tametra Hogue, LCPC
• Zondra Johnson
• Katherine Carter Murphy, LGSW
• Devin Rashad Paulk, PHARMD
• Rion Blagrove DDS PC

• Licensed Psychiatric Technician in Hillcrest Heights, MD
• Providers in Hillcrest Heights, MD by specialty
• Licensed Psychiatric Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.