Amanda Roderique, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0001309056 Issued in VA

Practice address

218 W Main St
Salem, VA 24153-3614

Phone

(540) 389-0909

NPI assigned

Mar 5, 2025

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 VA

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Starkey Skin LLC

  • Family Medicine Physician
  • Salem, VA
  • NPI 1639410053
  Medicare reassignment NPD

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1831997899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HIGHLAND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164214",
            "telephone_number": "434-221-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533614",
            "telephone_number": "540-389-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODERIQUE",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001309056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roanoke Valley Center for Sight LLC
• Roanoke Valley Center for Sight, LLC
• Roanoke Valley Ear, Nose, and Throat, P.C.
• Melissa Roberts
• Lisa Gerrard Rochford, PH.D.
• Gisette Rodriguez, MD
• Angela Young Rogers, PA-C
• John W Rogers, M.D.
• Juanita Louise Rogers, MSW
• Lisette Angelica Roldan, LABA, BCABA

• Family Nurse Practitioner in Salem, VA
• Providers in Salem, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.