Active NPI
Kendra Marie Rodriguez, CCMA
- Technician
- Galloway, OH
National Provider Identifier
1104565662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- Practice address
- 5875 Tully Cross Dr
Galloway, OH 43119-9813 - Phone
- (614) 905-6441
- NPI assigned
- Jun 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | OH | Primary |
Addresses
Primary practice location
5875 Tully Cross Dr
Galloway, OH 43119-9813
Mailing address
5875 Tully Cross Dr
Galloway, OH 43119-9813
Phone (614) 905-6441
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1104565662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 TULLY CROSS DR",
"city": "GALLOWAY",
"state": "OH",
"postal_code": "431199813",
"telephone_number": "614-905-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 TULLY CROSS DR",
"city": "GALLOWAY",
"state": "OH",
"postal_code": "431199813",
"telephone_number": "614-905-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KENDRA",
"middle_name": "MARIE",
"credential": "CCMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galloway, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.