ANNIE MARIE RODMAN (NPI# 1275837932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275837932 |
| Entity Type | Individual |
| Full Name | ANNIE MARIE RODMAN |
| Credential | MSN/FNP |
| Practice Address |
1510 E Wagon Wheel Ln Suite 106 Fort Mohave AZ 86426-6697 |
| Practice Telephone | 9287889378 |
| Practice Fax Number | 9287889381 |
| Mailing Telephone | 9287889378 |
| Mailing Fax Number | 9287889381 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN094835 AP1618 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1510 E WAGON WHEEL LN SUITE 106 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-6697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992761910 | Benjamin H Venger | Neurological Surgery | 1510 E Wagon Wheel Ln, Suite 110, Fort Mohave, AZ 86426-6697 | 2006-04-26 |
| 1194377242 | Rocky Mountain Holdings LLC | Ambulance | 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 | 2019-07-09 |
| 1528421971 | Jennifer Booze-hawkes | Nurse Practitioner | 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 | 2016-04-02 |
| 1972812626 | Han-chin C Huang | Nurse Practitioner | 1510 E Wagon Wheel Ln, Suite 110, Fort Mohave, AZ 86426-6697 | 2010-09-29 |
| 1003996224 | West Family Practice and Obstetrics | Clinic/Center | 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426-6697 | 2006-10-16 |
| 1285649145 | Oleg V Serbine | Anesthesiology | 1510 E Wagon Wheel Ln, Ste. 110, Fort Mohave, AZ 86426-6697 | 2006-07-29 |
| 1679522379 | Mary Janikowski | Internal Medicine | 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275911521 | Angela Marie Lipinski | Nurse Practitioner | 5263 Hwy 95, Fort Mohave, AZ 86426-9223 | 2015-05-07 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1639127780 | Terry L Coyle | Nurse Practitioner | 5130 S Highway 95, Fort Mohave, AZ 86426-9374 | 2006-05-04 |
| 1174121883 | Theresa Marin | Nurse Practitioner | 1611 E Joy Ln, Fort Mohave, AZ 86426-8807 | 2020-10-14 |
| 1588136063 | Agnes Nana Aba Gyepi-attee | Nurse Practitioner | 5263 Hwy 95, Fort Mohave, AZ 86426-9223 | 2018-12-21 |
| 1144704933 | Kristen Peddycord | Nurse Practitioner | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-09-18 |
| 1528421971 | Jennifer Booze-hawkes | Nurse Practitioner | 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 | 2016-04-02 |
| 1114325784 | Dilyara Cannon | Nurse Practitioner | 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426-6068 | 2014-12-15 |
| 1306187158 | Tracy D Osborne | Nurse Practitioner | 1611 E Joy Ln, Fort Mohave, AZ 86426-8807 | 2013-03-04 |
| 1972812626 | Han-chin C Huang | Nurse Practitioner | 1510 E Wagon Wheel Ln, Suite 110, Fort Mohave, AZ 86426-6697 | 2010-09-29 |
| Find all providers in FORT MOHAVE | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
Please comment or provide details below to improve the information on ANNIE MARIE RODMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.