Bethanie Diane Rodriguez, OTR/L

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

5201007345 Issued in MI

Practice address

1130 Sunny LN
Saginaw, MI 48638-5643

Phone

(989) 233-0097

NPI assigned

Jun 14, 2011

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

Other names 1

• Miss Bethanie Diane Waterman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1245525625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SUNNY LN",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385643",
            "telephone_number": "989-233-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SUNNY LN",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385643",
            "telephone_number": "989-233-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "BETHANIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "5201007345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANIE",
            "last_name": "WATERMAN",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ariela Jade Rodarte
• Latoya Denise Rodgers, B. S. W.
• Trameka Dashawn Rodgers, BSW
• Karolyne Rodgerson, LLBSW,DPC
• Angela Rodriguez
• Dajanea Rodriguez, CHW, DOULA
• Julia Rodriguez
• Luis Feliz Rodriguez, M.D.
• Ramona Rodriguez
• Sheena Rodriguez

• Community Health Worker in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.