Marisol Rodriguez, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9362 Issued in CT

Practice address

127 Hampton CT
Newington, CT 06111-1144

Phone

(860) 983-9965

NPI assigned

Feb 8, 2013

Reactivated

Jan 13, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Nurse Practitioner

  • Psychiatry Physician
  • Newington, CT
  • NPI 1710605845
  NPD Authorized official

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1700125804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HAMPTON CT",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111144",
            "telephone_number": "860-983-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HAMPTON CT",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111144",
            "telephone_number": "860-983-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Silas Deane Highway",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "06067",
            "country_code": "US",
            "telephone_number": "860-436-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARISOL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "deactivation_date": "2020-11-30",
        "reactivation_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "CT",
            "license": "03-464286",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "9362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST STATE LICENSE",
            "identifier": "03-464286",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "solstouchservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1800 Silas Deane Highway",
            "address_2": "Suite 150",
            "city": "Rocky Hill",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa Janine Robb, DDS
• Olivia Robinson
• John Rodican
• Ada G. Rodriguez, MA, LPC
• Ellie Rodriguez
• Sugehitled Marie Rodriguez
• Joel Roffer, O.D.
• Christina Romano, OD
• Selma Costa Rosa, FNP-BC
• Darcie Ann Rosen, APRN; LCSW

• Nurse Practitioner in Newington, CT
• Providers in Newington, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.