Kaitlin Raye Rodriguez, DN

Primary specialty

NaprapathTaxonomy code 172P00000X

Practice address

2006 Botulph Rd
Santa Fe, NM 87505-5730

Phone

(505) 424-8990

Fax

(505) 424-6377

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Apr 26, 2022.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1689318552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BOTULPH RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055730",
            "telephone_number": "505-424-8990",
            "fax_number": "505-424-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BOTULPH RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055730",
            "telephone_number": "505-424-8990",
            "fax_number": "505-424-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KAITLIN",
        "middle_name": "RAYE",
        "name_prefix": "Dr.",
        "credential": "DN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naprapath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "address_1": "2006 Botulph Rd",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875055730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abby Rodriguez, FNP-BC
• Angela Rodriguez, LCSW
• Angelica Rodriguez
• Daniel Rodriguez, PT
• Edgardo Rodriguez, PHARMACY INTERN
• Lori Y Rodriguez, LPN
• Maria Rodriguez, MD
• Maria Jose Rodriguez, MASTERS.
• Mariah Rodriguez
• Matthew John Rodriguez, DOCTOR OF PHARMACY

• All providers in Santa Fe, NM
• Naprapath in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.