STEPHANIE JENNIE RODDENBERRY APRN NPI 1649772377

NPI Information

  • NPI: 1649772377
  • Provider Name: STEPHANIE JENNIE RODDENBERRY, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5 GROGANS PARK DR
    THE WOODLANDS, TX
    ZIP 77380
  • Phone: (727) 335-3325

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NPI Details

Stephanie Jennie Roddenberry, APRN is a family nurse practitioner in The Woodlands, TX with 7 years of experience. Stephanie Jennie Roddenberry, APRN NPI is 1649772377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 GROGANS PARK DR
THE WOODLANDS, TX
ZIP 77380-189
Phone: (727) 335-3325

The NPI 1649772377 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) (HCPCS:G0506)

The enumeration date for this NPI number is 3/8/2018 and was last updated on 5/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily9342824FLORIDANo
2363LF0000XNurse PractitionerFamilyAP137613TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1390412001MEDICAIDTEXAS
28KE822OTHERTEXASBCBSTX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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