Individual provider Active NPI

Ashley A Rodriguez

  • Personal Care Attendant
  • Henderson, NV
National Provider Identifier
1194216069
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
2961 E Serene Ave
Henderson, NV 89074-6507
Phone
(702) 948-4848
NPI assigned
May 25, 2018
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

2961 E Serene Ave
Henderson, NV 89074-6507

Mailing address

2961 E Serene Ave
Henderson, NV 89074-6507
Phone (702) 948-4848

Other practice location 1

2017 Villa Dr Apt 104
Bay Point, CA 94565-7965
Phone (925) 332-8600

Other practice location 2

2961 E Serene Ave
Henderson, NV 89074-6507
Phone (702) 948-4848

Other practice location 3

2961 E Serene Ave
Henderson, NV 89074-6507
Phone (702) 948-4848

Other practice location 4

2961 E Serene Ave
Henderson, NV 89074-6507
Phone (702) 948-4848

Other practice location 5

2961 E Serene Ave
Henderson, NV 89074-6507
Phone (702) 948-4848

Other practice location 6

2961 E Serene Ave
Henderson, NV 89074-6507
Phone (702) 948-4848

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

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1194216069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 E SERENE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746507",
            "telephone_number": "702-948-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 E SERENE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746507",
            "telephone_number": "702-948-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2017 Villa Dr Apt 104",
            "address_purpose": "LOCATION",
            "city": "Bay Point",
            "state": "CA",
            "postal_code": "945657965",
            "country_code": "US",
            "telephone_number": "925-332-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2961 E Serene Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746507",
            "country_code": "US",
            "telephone_number": "702-948-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2961 E Serene Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746507",
            "country_code": "US",
            "telephone_number": "702-948-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2961 E Serene Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746507",
            "country_code": "US",
            "telephone_number": "702-948-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2961 E Serene Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746507",
            "country_code": "US",
            "telephone_number": "702-948-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2961 E Serene Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746507",
            "country_code": "US",
            "telephone_number": "702-948-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.