Melissa Rae Rodriguez, L P N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN306345 Issued in PA

Practice address

1427 Sandhill Rd
Lebanon, PA 17046-1973

Phone

(717) 639-9023

NPI assigned

Dec 30, 2024

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1891503397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 SANDHILL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170461973",
            "telephone_number": "717-639-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 SANDHILL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170461973",
            "telephone_number": "717-639-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MELISSA",
        "middle_name": "RAE",
        "credential": "L P N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN306345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Robertson
• Rocky Mountain Holdings, LLC (WellSpan WellFlight)
• Philip D Rodenberger, MD
• Rebecca Roditski
• Lisette Rodriguez Morales
• Tatiana Ivette Rodriguez
• Christa E Roe, AU.D,CCC/A
• Wayne Lawrence Roffer, PSY.D.
• Brittany R Rogers
• Karen A Rogers, PA-C

• Licensed Practical Nurse in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.