Amanda Michelle Rodriguez, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

659358-01 Issued in NY

Practice address

50 Cummings Rd
Lake Placid, NY 12946-1508

Phone

(518) 523-2474

NPI assigned

Jul 25, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1710613641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CUMMINGS RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461508",
            "telephone_number": "518-523-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CUMMINGS RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461508",
            "telephone_number": "518-523-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "659358-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "arodriguez@lakeplacidcsd.net",
            "affiliation": "N",
            "address_1": "50 Cummings Rd",
            "city": "Lake Placid",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129461508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Elizabeth Radka
• Garrett J Rammelt
• Emily A Rath, PHARM D
• Richard S. Donela (Tri-State Podiatry)
• Rite Aid of New York Inc (Rite Aid Pharmacy 04803)
• Peter Rosenberger, M.D.
• Gary Joseph Ryan, PTA
• Joseph Schoonover, D.D.
• Emma Schum, OTR/L
• David Seguin, M.A., C.A.S.

• School Registered Nurse in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.