Annie Joanna Rodriguez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1742 Teal Dr
Park City, UT 84098-5407

Phone

(435) 776-6202

NPI assigned

Oct 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1053862730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 TEAL DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985407",
            "telephone_number": "435-776-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 TEAL DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985407",
            "telephone_number": "435-776-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANNIE",
        "middle_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Lynn Robertson, O.D.
• Charles Edward Robinson, M.F.T.
• Richard Stuart Robinson, LCSW
• Jessica Michelle Truskowski Robnett, PSYD
• Susana Rodriguez Patino
• Michael Andrew Rogowski, MD
• Brandilyn Rolfe, NP
• Nat Romine, CPM
• Root Transition LLC
• Roots Pediatric Therapy

• Behavior Technician in Park City, UT
• Providers in Park City, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.