Jessica Marie Rodriguez, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

C-5493 Issued in NM

Practice address

707 N Smiley St
O Fallon, IL 62269-1353

Phone

(618) 632-6391

NPI assigned

May 2, 2014

Last updated

Sep 11, 2025By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356751036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 HERCULES RD",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622256316",
            "telephone_number": "609-670-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N SMILEY ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691353",
            "telephone_number": "618-632-6391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Uptown Blvd NE",
            "address_2": "Ste 360W",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871104204",
            "country_code": "US",
            "telephone_number": "505-855-9805",
            "fax_number": "505-848-9468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2025-09-11",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-5493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel M Riddle, CRNA
• Evan Rieck, RBT
• Rebecca Sue Riepshoff, PA-C
• Shauna Rittenhouse, OTR/L
• Kenneth Andre Roberts II, MA, RD, LDN
• Lunalis Marie Rodriguez
• Samantha Kay Rogers, RBT
• Savannah Madison Roman
• Ronald Weems Jr. P.C. (Shiloh Family Dental)
• William Carl Rook, M.A., LCPC

• Speech-Language Pathologist in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.