NPIMap

Individual provider Active NPI

Javier Rodriguez, AG-ACNP

  • Acute Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1194198606
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3009896 Issued in KY
Practice address
2523 Wendell Ave
Louisville, KY 40205-3011
Phone
(615) 438-4193
NPI assigned
Nov 5, 2015
Last updated
May 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 20532 TN
Acute Care Nurse Practitioner 363LA2100X 3009896 KY Primary

Addresses

Primary practice location

2523 Wendell Ave
Louisville, KY 40205-3011

Mailing address

2523 Wendell Ave
Louisville, KY 40205-3011
Phone (615) 438-4193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160509000449 KY Practitioner - Nurse Practitioner 7517266844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
FL 6
Louisville, KY 40202-1831
Phone (502) 629-2806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20532TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc CurrentSince Mar 1, 2022 Accepting new patients
Community Medical Associates, Inc. Acute Care Current Accepting new patients
Norton Hospitals, Inc Acute Care CurrentSince Mar 1, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 12, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 12, 2016 Accepting new patients

Locations

200 E Chestnut St
Fl 6
Louisville, KY 40202
Phone (502) 629-2806

210 E Gray St
Ste 604
Louisville, KY 40202
Phone (502) 629-5440

3 Audubon Plaza Dr
Ste 220
Louisville, KY 40217
Phone (502) 636-7242

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

3999 Dutchmans Ln
#1
Louisville, KY 40207
Phone (502) 559-1860

8033 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3154

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

850 S 28th St
Ste 104
Louisville, KY 40211
Phone (502) 394-5678

Interoperability endpoints

  • Direct secure messaging: jrodriguez99080@direct.nortonhealthcare.org

Organizations & group practices 5

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1194198606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 WENDELL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053011",
            "telephone_number": "615-438-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 WENDELL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053011",
            "telephone_number": "615-438-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAVIER",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-05",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "20532",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3009896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.