Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Roderique, RN

Individual provider Family Nurse Practitioner · NPI 1831997899

Amanda Roderique, RN is a Nurse Practitioner in Salem, Virginia. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

218 W Main St
Salem, VA 24153-3614
Phone: (540) 389-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0001309056 (VA)

Record details

NPI number1831997899
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 5, 2025
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address414 Highland Ave Sw, Roanoke, VA 24016-4214

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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