ERIKA RODERICK
NPI 1538812102
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since February 02, 2022
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(320) 281-8351 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2025, Feb 2, 2022 (2 updates tracked since 2022).

About Erika Roderick NPPES

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

ERIKA RODERICK (NPI 1538812102) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1538812102
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameERIKA RODERICK
Location Address2211 RIVERSIDE AVEMinneapolis, MN 55454-1350
Mailing Address4671 Bald Eagle Ave Unit 2White Bear Lake, MN 55110-3477 · (320) 281-8351
Sole ProprietorNo
Enumeration DateFebruary 2, 2022
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1538812102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
2211 RIVERSIDE AVE, Minneapolis, MN 55454

Other Providers at the Same Location NPPES 20

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

Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE, CAMPUS BOX 313
MINNEAPOLIS, MN 55454
Physician Assistant (Surgical)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Counselor (Addiction (Substance Use Disorder))
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538812102, enumerated as an "individual" on February 02, 2022.

The provider is located at 2211 RIVERSIDE AVE MINNEAPOLIS, MN 55454 and the phone number is (320) 281-8351.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.