Individual provider Active NPI

Cynthia Perea Rodriguez, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • West Milwaukee, WI
National Provider Identifier
1902691850
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
111586430 Issued in WI
Practice address
11390 W Theodore Trecker Way
West Milwaukee, WI 53214-1135
Phone
(414) 928-1401
NPI assigned
Apr 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 111586430 WI Primary

Addresses

Primary practice location

11390 W Theodore Trecker Way
West Milwaukee, WI 53214-1135

Mailing address

11390 W Theodore Trecker Way
West Milwaukee, WI 53214-1135
Phone (414) 928-1401

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

LicenseStateTypeSpecialty
111586430WIMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1902691850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11390 W THEODORE TRECKER WAY",
            "city": "WEST MILWAUKEE",
            "state": "WI",
            "postal_code": "532141135",
            "telephone_number": "414-928-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11390 W THEODORE TRECKER WAY",
            "city": "WEST MILWAUKEE",
            "state": "WI",
            "postal_code": "532141135",
            "telephone_number": "414-928-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA RODRIGUEZ",
        "first_name": "CYNTHIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "111586430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.