Kendy Rodriguez, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

309961 Issued in NY

Practice address

1 Gustave L Levy PL
New York, NY 10029-6504

Phone

(347) 228-4113

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By 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, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Direct Medicine Ny PLLCGroup PAC ID 8224542998, 3 clinicians

Expert Medical Services LLCGroup PAC ID 4284651738, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

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

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.

• Direct Medicine Ny PLLC

  • Nurse Practitioner
  • Brooklyn, NY
  • NPI 1487548343
  Medicare reassignment Care Compare group NPD
• Expert Medical Services LLC

  • Legal Medicine
  • New York, NY
  • NPI 1215019377
  Medicare reassignment Care Compare group NPD
• Icahn School of Medicine at Mount Sinai

  dba Neurology Department of Mount Sinai

  • Neurological Surgery Physician
  • New York, NY
  • NPI 1558627844
  Medicare reassignment NPD
• Laurelton Medical Physicians PLLC

  dba Laurelton Medical Center

  • Clinic/Center
  • Laurelton, NY
  • NPI 1902216229
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Expert Mobile Health

  • Emergency Medicine Physician
  • Floral Park, NY
  • NPI 1770284226
  NPD (past)
• Samuel Akuoku Physician PC

  dba Laurelton Medical Center

  • Medical Specialty Clinic/Center
  • Laurelton, NY
  • NPI 1013070366
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1720688047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WILLIAM ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115652008",
            "telephone_number": "347-228-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "347-228-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KENDY",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karly Rodriguez, LMHC
• Katherine Rodriguez, MS, MHC-LP
• Katherine Rodriguez, LMSW
• Kayla Christine Rodriguez, NP
• Kelly Rodriguez, LCSW
• Kenia Johana Rodriguez, FNP
• Kevyn Rodriguez
• Kimberly Rodriguez, ED.M, M.A.
• Kirby W Rodriguez, AGPCNP-BC
• Kristen Rodriguez, NP

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.