Tiara Chantelle Roddick, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002102557 Issued in VA

Practice address

671 Independence Parkway
Suite 110
Chesapeake, VA 23320

Phone

(757) 970-0353

NPI assigned

Mar 16, 2023

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

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1952002842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ARCHWAY CT APT 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556245",
            "telephone_number": "254-630-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 INDEPENDENCE PARKWAY",
            "address_2": "SUITE 110",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-970-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDICK",
        "first_name": "TIARA",
        "middle_name": "CHANTELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002102557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shemeka L Robinson
• Speial Jaynell Robinson
• Emma C Robl, DO
• Kailey Robles
• Tommi Jean Robson, PHARMD
• Anna Rodriguez, M.D.
• Arnel Espiritu Rodriguez, RN
• Hiram Jose Rodriguez, MD
• Judith Rodriguez
• Nina Rodriguez, RN

• Licensed Practical Nurse in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.