Michelle Jean Rodriguez, BSN RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

123205 Issued in WI

Practice address

11390 W Theodore Trecker Way
West Allis, WI 53214-1135

Phone

(414) 928-1401

NPI assigned

Oct 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1619426640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 S 106TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532274119",
            "telephone_number": "414-687-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11390 W THEODORE TRECKER WAY",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532141135",
            "telephone_number": "414-928-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHELLE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "123205",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "123205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Rockey, LCSW
• Kameia Rodgers, APSW
• Nicholas James Rodgers I
• Raquel Rodriguez Martinez
• Tana J Rodriguez-Buck, LPC
• Lisa Marie Roffers, PTA
• Keisha Denise Rogers, M.D.
• Natalia Rojas-Pulido, RN
• Oralie Rollins, RN
• Kathleen Anne Roney, MPT

• Registered Nurse in West Allis, WI
• Providers in West Allis, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.