Avery Rodriguez, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

735 Goodard Dr
Virginia Beach, VA 23454-6868

Phone

(410) 698-3884

NPI assigned

May 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1245853720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 GOODARD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546868",
            "telephone_number": "410-698-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 GOODARD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546868",
            "telephone_number": "410-698-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AVERY",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zinora Rodgers
• Laura Patricia Rodriguez Rojas
• Alison C Rodriguez
• Amy Rodriguez
• Anaiz Marie Rodriguez I, M.ED.
• Brittany Rodriguez
• Candita Rodriguez, ARNP
• Cassandra Isabelle Rodriguez, RBT
• Erica Shannon Rodriguez, BCBA, LBA
• Ernest Paul Rodriguez, M.P.T.

• Athletic Trainer in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.