Active NPI
Andrea Yvonne Rodriguez, M.S., CCC - SLP
- Speech-Language Pathologist
- Alice, TX
National Provider Identifier
1245069475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 121722
- Practice address
- 293 County Road 480
Alice, TX 78332 - Phone
- (361) 227-0204
- NPI assigned
- Jul 27, 2024
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 121722 | TX | Primary |
Addresses
Primary practice location
293 County Road 480
Alice, TX 78332
Mailing address
4444 Corona Dr Ste 144
Corpus Christi, TX 78411-4322
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121722 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722038400000",
"number": "1245069475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 CORONA DR STE 144",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 COUNTY ROAD 480",
"city": "ALICE",
"state": "TX",
"postal_code": "78332",
"telephone_number": "361-227-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ANDREA",
"middle_name": "YVONNE",
"credential": "M.S., CCC - SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-27",
"last_updated": "2024-07-27",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "121722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alice, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.