Eliana Rodriguez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010486 Issued in GA

Practice address

301 Flamingo Dr
Saint Marys, GA 31558-3628

Phone

(912) 208-0027

Fax

(912) 724-7208

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Little Bridges Speech Therapy, LLC.

  • Speech-Language Pathologist
  • Saint Marys, GA
  • NPI 1902661176
  NPD Authorized official
• Pediatric Therapies of SE Ga, LLC

  • Pediatric Occupational Therapist
  • Brunswick, GA
  • NPI 1841577111

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1144739780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 A KINGS BAY ROAD PMB#200",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "31558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FLAMINGO DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583628",
            "telephone_number": "912-208-0027",
            "fax_number": "912-724-7208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 N Gross Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Kingsland",
            "state": "GA",
            "postal_code": "315486263",
            "country_code": "US",
            "telephone_number": "912-342-8875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "814 30th Ave",
            "address_purpose": "LOCATION",
            "city": "East Moline",
            "state": "IL",
            "postal_code": "612443263",
            "country_code": "US",
            "telephone_number": "309-755-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "2392375",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Town Laboratories, LLC
• Robert D. Mixson MD PA a Georgia Corp
• Myra Leigh Robertson, PHARMD
• Harry Hawthorne Robinson III, M.D.
• Sophia Robinson, RBT
• Chelsea Roland
• Dorina Carmen Roman Ware, PT
• Megan Marie Rowland, RBT
• Madison Victoria Rupe
• Annette Russell

• Speech-Language Pathologist in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.