Active NPI
Therese Marie Rodriguez, R.N. C.F.C.P
- Health Educator
- Montgomery Village, MD
National Provider Identifier
1922440965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- RN59327
- Practice address
- 19615 Enterprise Way
Montgomery Village, MD 20886-1002 - Phone
- (301) 963-6833
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | RN59327 | DC | Primary |
Addresses
Primary practice location
19615 Enterprise Way
Montgomery Village, MD 20886-1002
Mailing address
19615 Enterprise Way
Montgomery Village, MD 20886-1002
Phone (301) 963-6833
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 |
|---|---|---|---|
| RN59327 | DC | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1922440965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19615 ENTERPRISE WAY",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208861002",
"telephone_number": "301-963-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19615 ENTERPRISE WAY",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208861002",
"telephone_number": "301-963-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "THERESE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "R.N. C.F.C.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "DC",
"license": "RN59327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery Village, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.