Active NPI
Jocelyn Rebecca Rodriguez-Williams, M.A.ED.
- Developmental Therapist
- Fishers, IN
National Provider Identifier
1487430641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 11721 Olio Rd
Fishers, IN 46037-9414 - Phone
- (317) 936-6797
- NPI assigned
- Sep 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
11721 Olio Rd
Fishers, IN 46037-9414
Mailing address
9634 Brook Meadow Dr
Fishers, IN 46055-8803
Phone (317) 936-6797
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1487430641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9634 BROOK MEADOW DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460558803",
"telephone_number": "317-936-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11721 OLIO RD",
"city": "FISHERS",
"state": "IN",
"postal_code": "460379414",
"telephone_number": "317-936-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-WILLIAMS",
"first_name": "JOCELYN",
"middle_name": "REBECCA",
"credential": "M.A.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.