Teresa Lynn Rodriguez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

581 Porta Rosa Cir
St Augustine, FL 32092-4765

Phone

(904) 545-5387

NPI assigned

Jul 31, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1821607235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 PORTA ROSA CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320924765",
            "telephone_number": "904-545-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 PORTA ROSA CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320924765",
            "telephone_number": "904-545-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Rodriguez
• Christine Rodriguez, DPT
• Paola Carolina Rodriguez, D.M.D.
• Rosana Rodriguez, DPM
• Taryn Rodriguez, FNP-C
• Valerie Rodriguez, LSCW
• Paul Sebastian Roettges, MD
• Gordie Rogers
• Nelson Winston Rogers, DPT
• Bonnie Leigh Rogulj, DPT

• Behavior Technician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.