Johanna Vazquez-Rodriguez
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Star, NC
NPI 1295539724 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1295539724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 219 Wood LN
Star, NC 27356-7982 - Phone
- (336) 460-8061
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
219 Wood LN
Star, NC 27356-7982
Mailing address
PO Box 658
Biscoe, NC 27209-0658
Other providers in Star, NC
- Frederick E Pfeiffer II
- Robeson Health Care Corporation
- Starmont Assisted Living
- Therapeutic Alternatives Incorporated
- Therapeutic Alternatives, Inc.
- Wilson Family Care
All providers in Star, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.