Individual provider Active NPI

Teresa Ollila Rodriguez, AGCNS-BC

  • Adult Health Clinical Nurse Specialist
  • Arvada, CO
National Provider Identifier
1851067193
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
0996818 Issued in CO
Practice address
7850 Vance Dr
Arvada, CO 80003-2118
Phone
(720) 608-2181
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X APN.0996818-CNS CO
Adult Health Clinical Nurse Specialist 364SA2200X 0996818 CO Primary

Addresses

Primary practice location

7850 Vance Dr
Arvada, CO 80003-2118

Mailing address

2845 Shoshone TRL
Lafayette, CO 80026-3342
Phone (303) 550-6962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818002086 CO Practitioner - Nurse Practitioner 0244692465 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0996818COMDAdult Health Clinical Nurse Specialist
APN.0996818-CNSCOMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Jul 15, 2023 Accepting new patients

Locations

12080 Bellaire Way
Thornton, CO 80241
Phone (303) 450-2700

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 1

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1851067193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 SHOSHONE TRL",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263342",
            "telephone_number": "303-550-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032118",
            "telephone_number": "720-608-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLILA RODRIGUEZ",
        "first_name": "TERESA",
        "credential": "AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CO",
            "license": "APN.0996818-CNS",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CO",
            "license": "0996818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.