Active NPI
Ma. Cecile Roan Rodriguez, R.N.
- Registered Nurse
- Las Vegas, NV
National Provider Identifier
1376770784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN57330
- Practice address
- 2600 S Town Center Dr
Apt. # 1127
Las Vegas, NV 89135-2064 - Phone
- (702) 489-2051
- NPI assigned
- Jun 12, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN57330 | NV | Primary |
| Registered Nurse | 163W00000X | 704530 | CA | |
| Registered Nurse | 163W00000X | 041.367.440 | IL | |
| Registered Nurse | 163W00000X | RN138126 | AZ |
Addresses
Primary practice location
2600 S Town Center Dr
Apt. # 1127
Las Vegas, NV 89135-2064
Mailing address
2600 S Town Center Dr
Apt. # 1127
Las Vegas, NV 89135-2064
Phone (702) 489-2051
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN138126 | AZ | MD | Registered Nurse |
| 704530 | CA | MD | Registered Nurse |
| 041.367.440 | IL | MD | Registered Nurse |
| RN57330 | NV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1376770784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 S TOWN CENTER DR",
"address_2": "APT. # 1127",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891352064",
"telephone_number": "702-489-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S TOWN CENTER DR",
"address_2": "APT. # 1127",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891352064",
"telephone_number": "702-489-2051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MA. CECILE",
"middle_name": "ROAN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN57330",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "704530",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.367.440",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN138126",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.