Individual provider Active NPI

Jennafer Mae Rodricks, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Naples, FL
National Provider Identifier
1609201623
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9325187 Issued in FL
Practice address
2335 Tamiami TRL N Ste 408
Naples, FL 34103-4459
Phone
(239) 784-2297
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9325187 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9325187 FL Primary

Addresses

Primary practice location

2335 Tamiami TRL N Ste 408
Naples, FL 34103-4459

Mailing address

2335 Tamiami TRL N Ste 408
Naples, FL 34103-4459

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

LicenseStateTypeSpecialty
RN9325187FLMDRegistered Nurse
ARNP9325187FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1609201623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 TAMIAMI TRL N STE 408",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 TAMIAMI TRL N STE 408",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034459",
            "telephone_number": "239-784-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRICKS",
        "first_name": "JENNAFER",
        "middle_name": "MAE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9325187",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9325187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.