Active NPI
Reinaldo Rodriguez
- Speech-Language Pathologist
- Washington, DC
National Provider Identifier
1588298574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3815 Fort Dr NW
Washington, DC 20016-1870 - Phone
- (202) 939-2010
- NPI assigned
- Feb 27, 2020
- Last updated
- Feb 27, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3815 Fort Dr NW
Washington, DC 20016-1870
Mailing address
2 M St NE Apt 901
Washington, DC 20002-3990
Phone (646) 641-2860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R60946470011822 | Medicaid | NJ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | reinaldo.rodriguez@k12.dc.gov | Direct | |
| Direct Messaging Address | reinaldo.rodriguez@k12.dc.gov |
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": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1588298574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 M ST NE APT 901",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023990",
"telephone_number": "646-641-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 FORT DR NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200161870",
"telephone_number": "202-939-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "REINALDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R60946470011822",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "reinaldo.rodriguez@k12.dc.gov",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "healthcare information",
"address_1": "1200 1st St NE Fl 10",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200027954",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "reinaldo.rodriguez@k12.dc.gov",
"affiliation": "N",
"address_1": "2 M St NE Apt 901",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200023990",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.