Kimberly Rodriguez, ED.M, M.A.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

80 E End Ave
New York, NY 10028-8004

Phone

(212) 585-3500

Fax

(212) 585-3800

NPI assigned

Mar 15, 2016

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 Arts

Practice roles

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

• Clarke School for the Deaf, the

  • Early Intervention Provider Agency
  • New York, NY
  • NPI 1720225832
  NPD (past)

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1407217680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288004",
            "telephone_number": "212-585-3500",
            "fax_number": "212-585-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288004",
            "telephone_number": "212-585-3500",
            "fax_number": "212-585-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "ED.M, M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Christine Rodriguez, NP
• Kelly Rodriguez, LCSW
• Kendy Rodriguez, AGNP
• Kenia Johana Rodriguez, FNP
• Kevyn Rodriguez
• Kirby W Rodriguez, AGPCNP-BC
• Kristen Rodriguez, NP
• Kristy Rodriguez, LMHC, CASAC
• Larissa V. Rodriguez, MD
• Leana Rodriguez, LPN

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.