Kim Rodriguez-Loggins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F342721-1 Issued in NY

Practice address

39 Regan Ave
Staten Island, NY 10310-2121

Phone

(718) 448-4712

NPI assigned

Mar 6, 2018

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Medicine and Rehabilitation Associates of Staten Island LLPGroup PAC ID 3173609708, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: kim.rodrigues-loggins.1@24989.direct.athenahealth.com

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

• Physical Medicine and Rehabilitation Associates of Staten Island LLP

  • Specialist
  • Staten Island, NY
  • NPI 1285842815
  Medicare reassignment Care Compare group NPD
• Richmond Medical Rehabilitation Services, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
  • NPI 1326413378
  Medicare reassignment NPD
• Forest Rehabilitation Medicine PC

  • Specialist
  • Staten Island, NY
  • NPI 1821371899
  NPD (past)

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1700388790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 REGAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102121",
            "telephone_number": "718-448-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 REGAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102121",
            "telephone_number": "718-448-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-LOGGINS",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342721-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Roddy, APN
• Deirdre Rodgers
• William Rodino, MD
• Rodolfo Ocampo Rodolfo
• Andrea M Rodolico
• Alexandra Yasel Rodriguez
• Alina Lauren Rodriguez
• Azalesha Abrahim Rodriguez, M.S. PA-C
• Barbara M Rodriguez, MSW
• Candee Melgar Rodriguez, NP

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.