Melodie Rodeback, RN00052138

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN00052138 Issued in WA

Practice address

1620 S Pioneer Way
Moses Lake, WA 98837-2487

Phone

(509) 766-2670

NPI assigned

Dec 5, 2017

Last updated

Sep 6, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moses Lake School District

  • Local Education Agency (LEA)
  • Moses Lake, WA
  • NPI 1386739308
  NPD

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1902311574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-766-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-766-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEBACK",
        "first_name": "MELODIE",
        "credential": "RN00052138",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00052138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440027",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RJ Henneberg, PLLC (Sunrise Dental of Moses Lake)
• Christopher Aaron Roberts
• Carry Joan Robey
• Mindy Robins
• Audrey Lovelle Robinson
• Patricia Hernandez Rodriguez, BS
• Ashley Roessler, PTA
• Alexis Jade Rogers, MD
• Allen D Rolfs, MD
• Alfred S. Roller, MD

• School Registered Nurse in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.