Jennie Suzanne Rodriguez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

085572 Issued in AZ

Practice address

1014 S Amulet
Mesa, AZ 85208-2765

Phone

(480) 854-7786

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1932785896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S AMULET",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082765",
            "telephone_number": "480-854-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S AMULET",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082765",
            "telephone_number": "480-854-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JENNIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "085572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://portal.healthcurrent.org/MirthSignOn-idp/sso",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1014 S Amulet",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852082765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fernando Rodriguez Jr.
• Francisco Eleazar Rodriguez, PA-C
• Gabriela Rodriguez, LAC
• Isabel Rodriguez
• Janice Rodriguez
• Jose Antonio Rodriguez, D.C.
• Joshua Alexander Rodriguez, DNAP, CRNA
• Juan Antonio Rodriguez
• Julianna Rodriguez, MC, LAC
• Marisela Rodriguez

• Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.