Rodrigo Manuel Caruco

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

808 Janneys LN
Alexandria, VA 22302-3918

Phone

(301) 747-3181

NPI assigned

Jul 31, 2021

Last updated

Jul 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1659044915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N FAYETTE ST UNIT 321",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142270",
            "telephone_number": "301-747-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 JANNEYS LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223023918",
            "telephone_number": "301-747-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUCO",
        "first_name": "RODRIGO",
        "middle_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://avante.clientsecure.me/",
            "affiliation": "Y",
            "endpointDescription": "Secure Client Portal",
            "affiliationName": "SimplePractice",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Secure communication between client and coach",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messaging & Sharing documents",
            "address_1": "525 N Fayette St Unit 321",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223142270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gary Wayne Carter, RN
• Olufunke Abimbola Carter, PMHNP
• Sheena L Carter, LCSW
• Stephanie D Carter, M.D.
• Brian Clifford Carty, MD
• Janis Michele Caruso, M.D.
• Leslie Casaday, OTR/L
• Jasmyn Aleah Casillas
• Amanda Lauren Cassidy
• Colleen Cassidy, M. ED.

• Health Educator in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Health Educator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.