Active NPI
Amanda Rose Rodrigues, ATC
- Athletic Trainer
- West Newton, MA
National Provider Identifier
1568959971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2917
- Practice address
- 250 Waltham St
West Newton, MA 02465-1750 - Phone
- (401) 651-5851
- NPI assigned
- Apr 20, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2917 | MA | Primary |
Addresses
Primary practice location
250 Waltham St
West Newton, MA 02465-1750
Mailing address
250 Waltham St
West Newton, MA 02465-1750
Phone (401) 651-5851
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 |
|---|---|---|---|
| 2917 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1568959971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 WALTHAM ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024651750",
"telephone_number": "401-651-5851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 WALTHAM ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024651750",
"telephone_number": "401-651-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "AMANDA",
"middle_name": "ROSE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-20",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.