Active NPI
M David Rodriguez, NP
- Community Health Nurse Practitioner
- Denver, CO
National Provider Identifier
1700897576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- 99992
- Practice address
- 8335 Fairmount Dr
#2-105
Denver, CO 80247-1130 - Phone
- (720) 532-0305
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 99992 | CO | Primary |
Addresses
Primary practice location
8335 Fairmount Dr
#2-105
Denver, CO 80247-1130
Mailing address
8335 Fairmount Dr
#2-105
Denver, CO 80247-1130
Phone (720) 532-0305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23605553 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Stop LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1700897576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8335 FAIRMOUNT DR",
"address_2": "#2-105",
"city": "DENVER",
"state": "CO",
"postal_code": "802471130",
"telephone_number": "720-532-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8335 FAIRMOUNT DR",
"address_2": "#2-105",
"city": "DENVER",
"state": "CO",
"postal_code": "802471130",
"telephone_number": "720-532-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "M",
"middle_name": "DAVID",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "CO",
"license": "99992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23605553",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.