Active NPI
Leslie Ray Rodriguez, RN, ACNS-BC, APRN
- Clinical Nurse Specialist
- Dallas, TX
National Provider Identifier
1871849042
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Mar 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 522482
- Practice address
- 3500 Gaston Avenue
Dallas, TX 75246-2026 - Phone
- (214) 820-0111
- Fax
- (214) 865-1580
- NPI assigned
- Jul 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | 522482 | TX | |
| Clinical Nurse Specialist | 364S00000X | 522482 | TX | Primary |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 522482 | TX |
Addresses
Primary practice location
3500 Gaston Avenue
Dallas, TX 75246-2026
Mailing address
3500 Gaston Avenue
Dallas, TX 75246-2026
Phone (214) 865-1573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 522482 | TX | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1871849042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVENUE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462026",
"telephone_number": "214-865-1573",
"fax_number": "214-865-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVENUE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462026",
"telephone_number": "214-820-0111",
"fax_number": "214-865-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LESLIE",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "RN, ACNS-BC, APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-25",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "TX",
"license": "522482",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "TX",
"license": "522482",
"primary": true
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "522482",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.