Individual provider Active NPI

Alison Lesley Rodriguez, FNP-BC

  • Family Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1841735768
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992944-NP Issued in CO
Practice address
2429 35TH Ave
Greeley, CO 80634-4171
Phone
(303) 338-4545
NPI assigned
Jan 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0992944-NP CO Primary

Addresses

Primary practice location

2429 35TH Ave
Greeley, CO 80634-4171

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other practice location 1

13700 Colorado Blvd.
Thornton, CO 80602
Phone (303) 451-4250

Other practice location 2

13700 Colorado Blvd.
Thornton, CO 80602
Phone (303) 451-4250

Other practice location 3

2918 W 10th St
Greeley, CO 80634-5457
Phone (970) 584-2100

Other practice location 4

2928 W 10th St
Greeley, CO 80634-5426
Phone (970) 584-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20170303000890 CO Practitioner - Nurse Practitioner 4789968116 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0992944-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Permanente Medical Group, P.C. CurrentSince Jan 13, 2020 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Feb 21, 2017 Accepting new patients
JG LLC Family CurrentSince Aug 10, 2018 Accepting new patients

Locations

2355 W 136th Ave
Broomfield, CO 80023
Phone (303) 658-9827

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

2928 W 10th St
Greeley, CO 80634
Phone (970) 351-8181

2429 35th Ave
Greeley, CO 80634
Phone (303) 326-6717

2918 W 10th St
Greeley, CO 80634
Phone (970) 352-3574

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

13700 Colorado Blvd
Thornton, CO 80602
Phone (303) 451-4250

Interoperability endpoints

  • Direct secure messaging: alison.rodriguez@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1841735768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 35TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344171",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13700 Colorado Blvd.",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "80602",
            "country_code": "US",
            "telephone_number": "303-451-4250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13700 Colorado Blvd.",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "80602",
            "country_code": "US",
            "telephone_number": "303-451-4250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2918 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806345457",
            "country_code": "US",
            "telephone_number": "970-584-2100",
            "fax_number": "970-584-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2928 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806345426",
            "country_code": "US",
            "telephone_number": "970-584-2100",
            "fax_number": "970-584-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALISON",
        "middle_name": "LESLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992944-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2429 35th Ave",
            "city": "Greeley",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806344171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.