Individual provider Active NPI

Elizabeth Rodriguez, DC

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1073271813
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13807 Issued in FL
Practice address
4436 Vermillion Dunes LN
Melbourne, FL 32904-8492
Phone
(813) 470-8339
NPI assigned
Nov 29, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13807 FL Primary

Addresses

Primary practice location

4436 Vermillion Dunes LN
Melbourne, FL 32904-8492

Mailing address

4436 Vermillion Dunes LN
Melbourne, FL 32904-8492
Phone (813) 470-8339

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
CH13807FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractuc Envy Health & Wellness Chiropractor Current Accepting new patients
Chiropractic Envy Health & Wellness Chiropractor Current Accepting new patients

Locations

8095 Spyglass Hill Rd
Ste 102
Melbourne, FL 32940
Phone (321) 254-2225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1073271813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 VERMILLION DUNES LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048492",
            "telephone_number": "813-470-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 VERMILLION DUNES LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048492",
            "telephone_number": "813-470-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.