Individual provider Active NPI

Jeffrey Gabriel Rodriguez II, MS, LAT, ATC

  • Athletic Trainer
  • Houston, TX
National Provider Identifier
1386142693
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT6628 Issued in TX
Practice address
Rice University, Ms 548, 6100 S. Main St.
Houston, TX 77005-7700
Phone
(713) 348-4739
Fax
(713) 348-5621
NPI assigned
Feb 1, 2018
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT6628 TX Primary

Addresses

Primary practice location

Rice University, Ms 548, 6100 S. Main St.
Houston, TX 77005-7700

Mailing address

5353 Institute LN Apt 39
Houston, TX 77005-1887
Phone (512) 775-4890

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
Master of Science

State licenses

LicenseStateTypeSpecialty
AT6628TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1386142693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 INSTITUTE LN APT 39",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051887",
            "telephone_number": "512-775-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RICE UNIVERSITY, MS 548, 6100 S. MAIN ST.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770057700",
            "telephone_number": "713-348-4739",
            "fax_number": "713-348-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JEFFREY",
        "middle_name": "GABRIEL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.