Active NPI
Rhina Rodriguez-Cernak, PA
- Physician Assistant
- Longmont, CO
National Provider Identifier
1194701169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0001118
- Practice address
- 220 E Rogers Rd
Longmont, CO 80501-6027 - Phone
- (303) 776-3250
- Fax
- (303) 682-9269
- NPI assigned
- Dec 21, 2005
- Last updated
- Jun 29, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0001118 | CO | Primary |
Addresses
Primary practice location
220 E Rogers Rd
Longmont, CO 80501-6027
Mailing address
203 S Rollie Ave
Billing Dept - Credentialist
Fort Lupton, CO 80621-1508
Phone (303) 286-4560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19921578 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1194701169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S ROLLIE AVE",
"address_2": "BILLING DEPT - CREDENTIALIST",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211508",
"telephone_number": "303-286-4560",
"fax_number": "303-286-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E ROGERS RD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016027",
"telephone_number": "303-776-3250",
"fax_number": "303-682-9269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-CERNAK",
"first_name": "RHINA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0001118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19921578",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.