Jessica Rodriguez

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

5472 W Loop 1604 N
Suite 45
San Antonio, TX 78251

Phone

(860) 617-2012

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jessica Ortiz Former name

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1821630641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 W LOOP 1604 N",
            "address_2": "SUITE 45 VISTA SALON",
            "city": "SAN ANTONIO TEXAS",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "860-617-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 W LOOP 1604 N",
            "address_2": "SUITE 45",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "860-617-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ORTIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Renee Rodriguez, MSN, APRN, FNP-C
• Jenny Jesus Rodriguez, LMHCA
• Jeremy Anthony Rodriguez, M. ED., BCBA
• Jessica Rodriguez, LVN
• Jessica Rodriguez
• Jessica Carrasco Rodriguez, LVN
• Jessica Garay Rodriguez, LMFT
• Jesus Rodriguez
• Jesus Rodriguez, LCDC
• Jimmy Rodriguez, RN

• Other Specialist/Technologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.