Isamar Samantha Rodriguez, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

041467417 Issued in IL

Practice address

1323 Butterfield Rd
Downers Grove, IL 60515-5604

Phone

(224) 289-6229

Fax

(708) 364-0480

NPI assigned

Oct 11, 2022

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: izzy@elementalcenter.com

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1225753270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 ARBOR LN STE 116",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601912104",
            "telephone_number": "773-332-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 BUTTERFIELD RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155604",
            "telephone_number": "224-289-6229",
            "fax_number": "708-364-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ISAMAR",
        "middle_name": "SAMANTHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "041467417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "izzy@elementalcenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1323 Butterfield Rd",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristina Lynn Robinson, MS
• Michael Robinson, ND, MS, CNS, LDN
• Joi Elizabeth Rockers
• Rockin the Rainbow Inc
• Rockwood Dialysis LLC (Downers Grove Home Training)
• Kanisha Marie Rodriguez, LSW
• Lea A Romani, SLP
• Larissa Alexandra Roney, DPT
• Madison Mary Ronzone, PT, DPT
• Jose M Rosales Jr., PHARM.D.

• Adult Psychiatric/Mental Health Registered Nurse in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.