Rebeca Shantel Rodriguez, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

163224 Issued in AZ

Practice address

850 State St Unit 316
San Diego, CA 92101-6050

Phone

(757) 615-8957

NPI assigned

Aug 28, 2021

Sex

Female

Sole proprietor

No

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

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": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1710654553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 STATE ST UNIT 316",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016050",
            "telephone_number": "757-615-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STATE ST UNIT 316",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016050",
            "telephone_number": "757-615-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "REBECA",
        "middle_name": "SHANTEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AZ",
            "license": "163224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Rodriguez
• Noemi Rodriguez
• Rachel Rodriguez
• Randy Richard Rodriguez, PA-C, MS
• Raquel Rodriguez
• Rebeccah Rhenae Rodriguez, D.O.
• Rebekah Rodriguez
• Richard Rodriguez
• Rochell Rodriguez
• Roxanne Rodriguez

• Administrator Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.