Michele Lynn Rodriguez, DNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RODR-FLFP0B Issued in NC

Practice address

1875 Remount Rd
Gastonia, NC 28054-7413

Phone

(704) 874-0600

Fax

(704) 865-4758

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Michele Lynn Rodriguez Professional name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michele.rodriguez@1020466096308228.direct.elationemr.com

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.

• Careconnectmd North Carolina P.C.

  • General Practice Physician
  • Durham, NC
  • NPI 1104507441
  Medicare reassignment NPD
• Gaston Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1215932215
  Medicare reassignment NPD
• Geriatric Consultants PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Hickory, NC
  • NPI 1801478086
  Medicare reassignment NPD
• Gaston Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1477049708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547413",
            "telephone_number": "704-874-0600",
            "fax_number": "704-865-4758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 14th Ave NE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286012581",
            "country_code": "US",
            "telephone_number": "828-398-4558",
            "fax_number": "877-335-8171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16507 Northcross Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785082",
            "country_code": "US",
            "telephone_number": "704-248-0000",
            "fax_number": "877-335-8171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "RODR-FLFP0B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "RODRIGUEZ",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "MICHELE RODRIGUEZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Angel Marie Rogalinski, LCSWA
• Julia Blythe Barnette Rogers, FNP
• Kaitlyn Rogers
• Marley Hannah Rogers, LCSWA

• Gerontology Nurse Practitioner in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.