Mark Edward Rodgers, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

402565 Issued in CA

Practice address

35022 Persimmon Ave
Yucaipa, CA 92399-3116

Phone

(909) 226-5081

NPI assigned

Apr 5, 2022

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1144961053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35022 PERSIMMON AVE",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993116",
            "telephone_number": "909-226-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35022 PERSIMMON AVE",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993116",
            "telephone_number": "909-226-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "402565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy G Rivera Estrada
• Michelle A Rivero
• Laurie Diane Roach
• Jessie E Roath
• Robin-Marie Robinson
• Karina Rodriguez Torres
• Ariana Rodriguez
• Bryant Hernan Rojas
• Andrea Jacqueline Romero
• Jennifer L Rondeau, LPCC

• Case Management Registered Nurse in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.