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ADDIE RODERICK FNP-BC
NPI 1447206529
Nurse Practitioner - Family in Apache Junction, AZ

Active since May 26, 2006
105 S DELAWARE DR STE 2, APACHE JUNCTION, AZ 85120(480) 646-1001(480) 646-1002 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 13, 2017 (2 updates tracked since 2017).

About Addie Roderick Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADDIE RODERICK FNP-BC (NPI 1447206529) is an individual family provider in Apache Junction, Arizona, licensed in Arizona (AP3930) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1447206529
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameADDIE RODERICKCredential: FNP-BC
Location Address105 S DELAWARE DR STE 2Apache Junction, AZ 85120-6512
Mailing Address105 S Delaware Dr Ste 1Apache Junction, AZ 85120-6512 · (480) 646-1001 · Fax (480) 646-1002
Phone(480) 646-1001
Fax(480) 646-1002
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1447206529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP3930
Also ListedNurse PractitionerTaxonomy 363L00000X · License APN6179 (TN)
105 S DELAWARE DR STE 2, Apache Junction, AZ 85120
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Other Identifiers 4

Medicaid78013760KY
OtherAP3930AZ · License
Medicaid653785AZ
Other4087938TN · Bluecross

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOAH KIPKORIR SANG AGACNP, FNP
Nurse Practitioner (Family)
105 S DELAWARE DR STE 2
APACHE JUNCTION, AZ 85120
Pinal County (480) 646-1001
TOTAL HEALTH CLINIC LLC
Clinic/Center (Primary Care)
105 S DELAWARE DR STE 2
APACHE JUNCTION, AZ 85120
Pinal County (602) 777-7718
MRS. LORNA J MILLBOURN CNP
Nurse Practitioner (Family)
105 S DELAWARE DR STE 2
APACHE JUNCTION, AZ 85120
Pinal County (480) 646-1001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Addie Roderick's NPI number?

The NPI number for Addie Roderick is 1447206529. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Addie Roderick located?

Addie Roderick practices at 105 S Delaware Dr Ste 2, Apache Junction, AZ 85120. The listed phone number is (480) 646-1001.

What is Addie Roderick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Addie Roderick was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.