Active NPI
Rochelle Marie Corugedo, RN
- Registered Nurse
- Palmdale, CA
National Provider Identifier
1891216040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 522107
- Practice address
- 38350 40TH St E
Palmdale, CA 93552-3075 - Phone
- (661) 225-3001
- NPI assigned
- Jun 28, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 522107 | CA | |
| Case Manager/Care Coordinator | 171M00000X | 522107 | CA | |
| Registered Nurse | 163W00000X | 522107 | CA | Primary |
Addresses
Primary practice location
38350 40TH St E
Palmdale, CA 93552-3075
Mailing address
38350 40TH St E
Palmdale, CA 93552-3075
Phone (661) 225-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522107 | Other | CA | RN LICENSE |
Other names 1
- Mrs. Rochelle Marie Redondo
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 522107 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498608000000",
"number": "1891216040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38350 40TH ST E",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935523075",
"telephone_number": "661-225-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38350 40TH ST E",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935523075",
"telephone_number": "661-225-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORUGEDO",
"first_name": "ROCHELLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2017-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "522107",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "522107",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "522107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "522107",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROCHELLE",
"last_name": "REDONDO",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.