Active NPI
Jennifer Mandado Rodriguez, M.D.
- Blood Banking & Transfusion Medicine Physician
- Louisville, KY
National Provider Identifier
1215077839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- 39985
- Practice address
- 805 E Madison St
Apt-C
Louisville, KY 40204-1078 - Phone
- (502) 548-7031
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 39985 | KY | Primary |
Addresses
Primary practice location
805 E Madison St
Apt-C
Louisville, KY 40204-1078
Mailing address
805 E Madison St
Apt-C
Louisville, KY 40204-1078
Phone (502) 548-7031
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39985 | KY | MD | Blood Banking & Transfusion Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215077839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 E MADISON ST",
"address_2": "APT-C",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041078",
"telephone_number": "502-548-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E MADISON ST",
"address_2": "APT-C",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041078",
"telephone_number": "502-548-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JENNIFER",
"middle_name": "MANDADO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "KY",
"license": "39985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.