Active NPI
Jillian Alexa Rodriguez
- Speech-Language Pathologist
- Hollywood, FL
National Provider Identifier
1356850093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16664
- Practice address
- 1 Oakwood Blvd
Hollywood, FL 33020-1956 - Phone
- (954) 925-3844
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA16664 | FL | Primary |
Addresses
Primary practice location
1 Oakwood Blvd
Hollywood, FL 33020-1956
Mailing address
18712 NW 84TH PL Apt 306
Hialeah, FL 33015-2591
Phone (786) 325-2439
Other practice location 1
14631 Balgowan Rd Apt 204
Miami Lakes, FL 33016-6476
Phone (786) 325-2439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA16664 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1356850093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18712 NW 84TH PL APT 306",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152591",
"telephone_number": "786-325-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OAKWOOD BLVD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330201956",
"telephone_number": "954-925-3844"
}
],
"practiceLocations": [
{
"address_1": "14631 Balgowan Rd Apt 204",
"address_purpose": "LOCATION",
"city": "Miami Lakes",
"state": "FL",
"postal_code": "330166476",
"country_code": "US",
"telephone_number": "786-325-2439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JILLIAN",
"middle_name": "ALEXA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.