Individual provider Active NPI

Dorothy Rodriguez, RN

  • Registered Nurse
  • Canandaigua, NY
National Provider Identifier
1518043090
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
670747-1 Issued in NY
Practice address
5151 W Lake Rd
Canandaigua, NY 14424-8953
Phone
(559) 772-2356
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 670747-1 NY Primary

Addresses

Primary practice location

5151 W Lake Rd
Canandaigua, NY 14424-8953

Mailing address

3102 Old Brookside LN
Canandaigua, NY 14424-9339
Phone (559) 772-2356

Other names 1

  • Dorothy Marie Mani Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
670747-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1518043090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 OLD BROOKSIDE LN",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249339",
            "telephone_number": "559-772-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 W LAKE RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248953",
            "telephone_number": "559-772-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DOROTHY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "670747-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "MANI",
            "middle_name": "MARIE",
            "credential": "LPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.