Candice Allysha Rodriguez, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1274 Scott St
Morro Bay, CA 93442-2030

Phone

(530) 906-8919

NPI assigned

Feb 21, 2021

Last updated

Feb 21, 2021By 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 WA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seattle Indian Health BoardGroup PAC ID 7517866973, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Seattle Indian Health Board

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1316012461
  Medicare reassignment Care Compare group NPD
• Seattle Indian Health Board

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1235778812
  NPD
• Seattle Indian Health Board

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1922673367
  NPD
• Seattle Indian Health Board

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1306911458
  NPD (past)

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1700470788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 SCOTT ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422030",
            "telephone_number": "530-906-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 SCOTT ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422030",
            "telephone_number": "530-906-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CANDICE",
        "middle_name": "ALLYSHA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phai, Inc. (Pill Save Pharmacy)
• Sarah E Porraz
• Romano Procida, RPH
• Ratchford Dental Practice, Inc (Morro Bay Family Dentistry)
• Revive Then Thrive Marriage and Family Therapy, Inc. (Revive Then Thrive)
• Crystal Louise Rose, LCSW
• Ross J. Dover, PT (TherapyWorks-FitnessWorks)
• Kristi Ann Ross, LCSW,CADC
• Tim Ross
• Ryan Garcia DDS PC

• Registered Dietitian in Morro Bay, CA
• Providers in Morro Bay, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.