Ryan Michael Rodarte

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

2665 S Bruce St Apt 155
Las Vegas, NV 89169-1757

Phone

(702) 686-0852

NPI assigned

Dec 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1285105940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 ALTA DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073940",
            "telephone_number": "702-403-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 S BRUCE ST APT 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691757",
            "telephone_number": "702-686-0852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5020 Alta Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891073940",
            "country_code": "US",
            "telephone_number": "702-403-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODARTE",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "NV",
            "license": "2105320033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001985875",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russel Jason Eborde Rockwell
• Laninja Rockymore
• Helen Rodarte-Titus
• Elizabeth Rodarte, RN
• Moises Ortiz Rodarte
• Diana Elizabeth Rodas
• Yaneth Rodas
• Pablo Rodda
• Paul Roddy-Redic
• Carolene Estephane Rodezno

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.