Manuel Andrew Rodriguez

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

504 N Grand Traverse St
Flint, MI 48503-2536

Phone

(586) 491-1057

NPI assigned

Aug 26, 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

Practice roles

Locations

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.

• Great Lakes Recovery Mission, LLC

  • Substance Abuse Rehabilitation Facility
  • Flint, MI
  • NPI 1184111528
  NPD

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1184343535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021648",
            "telephone_number": "989-501-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N GRAND TRAVERSE ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032536",
            "telephone_number": "586-491-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MANUEL",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Rodgers
• Taylor Ann Rodgers
• Rodney L Feaster DDS PC
• Elida Marina Rodriguez Tamayo II, LPN
• Acier Ramiro Rodriguez
• Michael D. Roebuck, M.D.
• Kellie Roeser
• Sharon Nye Roffman, CCC-SLP
• Brenda A Rogers-Grays, DO
• Andrea Rogers, M.A., ED.S.,BCBA, LB

• Peer Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.