Active NPI
Catherine Rodriguez
- Prevention Professional
- Shirley, NY
National Provider Identifier
1194261156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 1027306161
- Practice address
- 35 Flintlock Dr
Shirley, NY 11967-2658 - Phone
- (646) 249-6913
- NPI assigned
- Jan 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 1027306161 | NY | Primary |
Addresses
Primary practice location
35 Flintlock Dr
Shirley, NY 11967-2658
Mailing address
35 Flintlock Dr
Shirley, NY 11967-2658
Phone (646) 249-6913
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027306161 | NY | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1194261156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 FLINTLOCK DR",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119672658",
"telephone_number": "646-249-6913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 FLINTLOCK DR",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119672658",
"telephone_number": "646-249-6913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NY",
"license": "1027306161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.