Individual provider Active NPI

Rosa Saraith Rodriguez Evangelista, RADT-I

  • Addiction (Substance Use Disorder) Counselor
  • Napa, CA
National Provider Identifier
1043823446
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1403560820 Issued in CA
Practice address
2100 Napa Vallejo Hwy BLDG M1M2
Napa, CA 94558-6234
Phone
(707) 255-8001
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Student in an Organized Health Care Education/Training Program 390200000X CA
Addiction (Substance Use Disorder) Counselor 101YA0400X R1403560820 CA Primary

Addresses

Primary practice location

2100 Napa Vallejo Hwy BLDG M1M2
Napa, CA 94558-6234

Mailing address

1900 Maxwell Canyon Rd
Saint Helena, CA 94574-9638
Phone (707) 880-6397

Other practice location 1

1900 Maxwell Canyon Rd
Saint Helena, CA 94574-9638
Phone (707) 880-6397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R1403560820CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1043823446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAXWELL CANYON RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749638",
            "telephone_number": "707-880-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY BLDG M1M2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586234",
            "telephone_number": "707-255-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Maxwell Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Helena",
            "state": "CA",
            "postal_code": "945749638",
            "country_code": "US",
            "telephone_number": "707-880-6397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ EVANGELISTA",
        "first_name": "ROSA",
        "middle_name": "SARAITH",
        "name_prefix": "Miss",
        "credential": "RADT-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1403560820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.