MS. TRISTAN RODERICK (NPI# 1902096886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902096886 |
| Entity Type | Individual |
| Full Name | MS. TRISTAN RODERICK |
| Credential | MA |
| Practice Address |
2514 South Croatan Hwy Nags Head NC 27959 |
| Mailing Address |
Po Box 1685 Nags Head NC 27959-1685 |
| Practice Telephone | 2524419400 |
| Practice Fax Number | 2524413366 |
| Mailing Telephone | 2524419400 |
| Mailing Fax Number | 2524413366 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1993 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6107203 | 05 |
| Street Address |
2514 SOUTH CROATAN HWY |
| City | NAGS HEAD |
| State | NC |
| Zip Code | 27959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235454232 | Amanda Spence Songer | Counselor | 2514 South Croatan Hwy, Rescare Homecare, Nags Head, NC 27959 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609124 | Charla D Huff | Counselor | 2224 S Croatan Hwy, Nags Head, Nc 27959, Nags Head, NC 27959 | 2020-08-11 |
| 1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
| 1780847392 | Brainard Lee Ackley | Chiropractor | 119 West Woodhill Drive, Suite 7, Nags Head, NC 27959 | 2008-07-03 |
| 1629241963 | Joseph Console Martone | Dentist | 2300 Croatan Highway, Suite #203, Nags Head, NC 27959 | 2008-04-08 |
| 1750593570 | Joan Beall | Counselor | 2215 Va Dare Trail, Nags Head, NC 27959 | 2007-05-04 |
| 1366654071 | William Milnor Downing Vi | Dentist | 2917 South Croatan Hwy, Nags Head, NC 27959 | 2007-05-04 |
| 1821117318 | Bear Drugs of Nags Head Inc. | Pharmacy | 4711 S. Croatan Hwy, Unit #4, Nags Head, NC 27959 | 2007-03-28 |
| 1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
| 1477607273 | Albemarle Mental Health Center | Social Worker | 2514 S Croatan Hwy, Nags Head, NC 27959 | 2007-01-22 |
| 1134286420 | William Henry Claypoole | Dentist | 2917 S Croatan Hwy, Nags Head, NC 27959 | 2007-01-03 |
| Find all providers in zip 27959 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083737308 | Annemarie Evans | Psychologist | 2510 S Croatan Hwy, Suite E, Nags Head, NC 27959-9016 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708062 | Daniel Vanhoy Blalock | Psychologist | 411 W Chapel Hill St Ste 600, Durham, NC 27701-3270 | 2020-10-20 |
| 1770181059 | Blake Daniel Herd | Psychologist | 1501 Highwoods Blvd Ste 101, Greensboro, NC 27410-2051 | 2020-10-09 |
| 1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
| 1265048342 | Joseph Giles Winger | Psychologist | 2200 W Main St Erwin Square Plaza, Durham, NC 27710-0001 | 2020-09-23 |
| 1447877618 | Sarah M Amedoro | Psychologist | 930 Dillingham Rd, Barnardsville, NC 28709-9784 | 2020-07-02 |
| 1518584986 | Amber Nikole Bates | Psychologist | 83 W Moss Creek Dr, Clayton, NC 27520-6908 | 2020-07-01 |
| 1013530831 | Lari Meeker Jackson | Psychologist | 832 Laurel Garden Way, Cary, NC 27513-2046 | 2020-05-27 |
| 1124640537 | Katherine Ramos | Psychologist | 2200 W Main St Ste 300, Durham, NC 27705-4677 | 2020-05-08 |
| 1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
| 1679109300 | Carol D Nudelman | Psychologist | 10 Twinflower Trl, Asheville, NC 28804-0044 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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| 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.