Individual provider Active NPI

Zaraya Jade Rodriguez

  • Assistant Health Information Record Technician
  • Sugarloaf, PA
National Provider Identifier
1811629108
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Health Information Record TechnicianTaxonomy code 2470A2800X
License
33431061 Issued in PA
Practice address
1 Edge TRL
Sugarloaf, PA 18249-1017
Phone
(877) 724-3009
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Health Information Record Technician 2470A2800X 33431061 PA Primary

Addresses

Primary practice location

1 Edge TRL
Sugarloaf, PA 18249-1017

Mailing address

100 N Conahan Dr
Hazleton, PA 18201-7355
Phone (570) 580-9100

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33431061PAMDAssistant Health Information Record Technician

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1811629108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CONAHAN DR",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182017355",
            "telephone_number": "570-580-9100",
            "fax_number": "570-362-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGE TRL",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182491017",
            "telephone_number": "877-724-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ZARAYA",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2470A2800X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information, Assistant Record Technician",
            "state": "PA",
            "license": "33431061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugarloaf, PA

Sources for this page

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