Active NPI
Sherry Rodriguez
- Contractor
- Lowell, MI
National Provider Identifier
1124567839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- AF410311840
- Practice address
- 11422 Foreman Farms CT
Lowell, MI 49331-9154 - Phone
- (616) 897-2101
- Fax
- (616) 897-3047
- NPI assigned
- Feb 14, 2017
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | AF410311840 | MI | Primary |
Addresses
Primary practice location
11422 Foreman Farms CT
Lowell, MI 49331-9154
Mailing address
11422 Foreman Farms CT
Lowell, MI 49331-9154
Phone (616) 897-2101
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
| License | State | Type | Specialty |
|---|---|---|---|
| AF410311840 | MI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1124567839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11422 FOREMAN FARMS CT",
"city": "LOWELL",
"state": "MI",
"postal_code": "493319154",
"telephone_number": "616-897-2101",
"fax_number": "616-897-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11422 FOREMAN FARMS CT",
"city": "LOWELL",
"state": "MI",
"postal_code": "493319154",
"telephone_number": "616-897-2101",
"fax_number": "616-897-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SHERRY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MI",
"license": "AF410311840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.