Individual provider Active NPI

Anna Marie Rodriguez, MS, RDN, LD, DIPACLM

  • Renal Nutrition Registered Dietitian
  • Sturtevant, WI
National Provider Identifier
1376728188
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
DT05346 Issued in TX
Practice address
3224 90TH St
Sturtevant, WI 53177-2719
Phone
(830) 377-2559
Fax
(830) 377-2559
NPI assigned
Dec 31, 2007
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT05346 TX
Renal Nutrition Registered Dietitian 133VN1005X DT05346 TX Primary

Addresses

Primary practice location

3224 90TH St
Sturtevant, WI 53177-2719

Mailing address

3224 90TH St
Sturtevant, WI 53177-2719
Phone (830) 377-2559

Other names 1

  • Ms. Anna Marie Joas-Rockhold Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131003389 CA Practitioner - Registered Dietitian Or Nutrition Professional 4789113911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT05346TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Specialty Medical Group CurrentSince Nov 21, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients

Locations

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

Interoperability endpoints

  • Direct secure messaging: telemed2u.annamarierodriguez@160918.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1376728188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 90TH ST",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531772719",
            "telephone_number": "830-377-2559",
            "fax_number": "830-377-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 90TH ST",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531772719",
            "telephone_number": "830-377-2559",
            "fax_number": "830-377-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, RDN, LD, DIPACLM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05346",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT05346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "JOAS-ROCKHOLD",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sturtevant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.