Active NPI
Melissa A Roudabush, RN
- Registered Nurse
- Reynoldsburg, OH
National Provider Identifier
1730491390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.369179
- Practice address
- 8072 Polk Path
Reynoldsburg, OH 43068-7321 - Phone
- (614) 678-1591
- NPI assigned
- Jul 11, 2010
- Last updated
- May 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.369179 | OH | Primary |
Addresses
Primary practice location
8072 Polk Path
Reynoldsburg, OH 43068-7321
Mailing address
8072 Polk Path
Reynoldsburg, OH 43068-7321
Phone (614) 678-1591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.369179 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1730491390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8072 POLK PATH",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430687321",
"telephone_number": "614-678-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8072 POLK PATH",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430687321",
"telephone_number": "614-678-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUDABUSH",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-11",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.369179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.