Active NPI
Emily Rodriguez, RD
- Registered Dietitian
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1319
- Practice address
- 800 Pennsylvania Ave # a
Charleston, WV 25302-3351 - Phone
- (304) 388-2199
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1319 | WV | Primary |
Addresses
Primary practice location
800 Pennsylvania Ave # a
Charleston, WV 25302-3351
Mailing address
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (301) 388-2545
Other practice location 1
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-2545
Other practice location 2
830 Pennsylvania Ave Ste 103
Charleston, WV 25302-3389
Phone (304) 388-1552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients |
Locations
3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336
800 Pennsylvania Ave
#A
Charleston, WV 25302
Phone (304) 388-2199
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
830 Pennsylvania Ave
Ste 103
Charleston, WV 25302
Phone (304) 388-2525
800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1851906523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PENNSYLVANIA AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023351",
"telephone_number": "301-388-2545",
"fax_number": "304-388-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PENNSYLVANIA AVE # A",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023351",
"telephone_number": "304-388-2199"
}
],
"practiceLocations": [
{
"address_1": "800 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253023351",
"country_code": "US",
"telephone_number": "304-388-2545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 Pennsylvania Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253023389",
"country_code": "US",
"telephone_number": "304-388-1552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EMILY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "1319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.