Active NPI
Lizett Rodriguez
- Contractor
- Jacksonville, FL
National Provider Identifier
1578997763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 6906602
- Practice address
- 7117 Oakney Rd
Jacksonville, FL 32211-4995 - Phone
- (904) 762-0996
- NPI assigned
- Aug 25, 2013
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 6906602 | FL | Primary |
Addresses
Primary practice location
7117 Oakney Rd
Jacksonville, FL 32211-4995
Mailing address
7117 Oakney Rd
Jacksonville, FL 32211-4995
Phone (904) 762-0996
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 |
|---|---|---|---|
| 6906602 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377388800000",
"number": "1578997763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 OAKNEY RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322114995",
"telephone_number": "904-762-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 OAKNEY RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322114995",
"telephone_number": "904-762-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LIZETT",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-25",
"last_updated": "2013-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "6906602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.