Active NPI
Brenda F. Rodi, F.N.P.
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019002282
- Practice address
- 969 N Mason Rd Ste 160
Saint Louis, MO 63141-6387 - Phone
- (314) 996-3434
- Fax
- (314) 996-3435
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN564299 | CA | |
| Family Nurse Practitioner | 363LF0000X | 2019002282 | MO | Primary |
Addresses
Primary practice location
969 N Mason Rd Ste 160
Saint Louis, MO 63141-6387
Mailing address
969 N Mason Rd Ste 160
Saint Louis, MO 63141-6387
Phone (314) 996-3434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN564299 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2341 S Brentwood Blvd
Brentwood Urgent Care
Saint Louis, MO 63144-2033
Phone (314) 963-8100
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11467 | CA | MD | Pediatric Occupational Therapist |
| RN564299 | CA | MD | Nurse Practitioner |
| 2019002282 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1296 Jeffco Blvd
Ste B
Arnold, MO 63010
Phone (636) 321-8600
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805
2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520
1475 Kisker Rd
Ste 120
Saint Charles, MO 63304
Phone (636) 498-7400
711 Veterans Memorial Pkwy
Saint Charles, MO 63303
Phone (636) 669-2200
2341 S Brentwood Blvd
Saint Louis, MO 63144
Phone (314) 731-6265
1173 Corporate Lake Dr
Saint Louis, MO 63132
1601 Wentzville Pkwy
Ste 130
Wentzville, MO 63385
Phone (636) 332-8455
Interoperability endpoints
- brodi508812@direct-ehr-ssmhc.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1366400855
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- Radiation Oncology Physician
- San Diego, CA
- NPI 1073853180
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1891769949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 N MASON RD STE 160",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416387",
"telephone_number": "314-996-3434",
"fax_number": "314-996-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 N MASON RD STE 160",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416387",
"telephone_number": "314-996-3434",
"fax_number": "314-996-3435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODI",
"first_name": "BRENDA",
"middle_name": "F.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "RN564299",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019002282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN564299",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "969 N Mason Rd Ste 160",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631416387",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.