Active NPI
Jacqueline Rodriguez, RDN, LDN
- Registered Dietitian
- Miami, FL
National Provider Identifier
1467922161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 8732
- Practice address
- 4615 NW 77TH Ave
Miami, FL 33166-6449 - Phone
- (305) 262-1292
- NPI assigned
- Nov 26, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 8732 | FL | Primary |
Addresses
Primary practice location
4615 NW 77TH Ave
Miami, FL 33166-6449
Mailing address
8401 SW 107TH Ave Apt 258E
Miami, FL 33173-4355
Other practice location 1
4601 NW 77th Ave
Miami, FL 33166
Phone (305) 262-1292
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 |
|---|---|---|---|
| 8732 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1467922161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 SW 107TH AVE APT 258E",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 NW 77TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331666449",
"telephone_number": "305-262-1292"
}
],
"practiceLocations": [
{
"address_1": "4601 NW 77th Ave",
"address_purpose": "LOCATION",
"city": "MIAMI",
"state": "FL",
"postal_code": "33166",
"country_code": "US",
"telephone_number": "305-262-1292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JACQUELINE",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "8732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.