Vanessa Rodriguez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

905 Friedberg Church Rd
Winston Salem, NC 27127-9803

Phone

(336) 251-1180

NPI assigned

Dec 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abc of NC Child Development Center

  • Early Intervention Provider Agency
  • Winston Salem, NC
  • NPI 1922277417

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1942912910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 REYNOLDS PARK RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071530",
            "telephone_number": "336-416-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 FRIEDBERG CHURCH RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271279803",
            "telephone_number": "336-251-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-18-73869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Jose Rodriguez, M.D.
• Christopher Paul Rodriguez, MA
• Julia Elena Rodriguez
• Patricia Simmons Rodriguez, PMHNP
• Rainer Rodriguez, MD
• Christina Roels
• Jordan Nicole Roels, LCMHC, NCC
• Melissa P Rogan, MACCSLP
• Roger a. Kalthoff, PH.D., P.a.
• Roger N Reynolds 111 DDS Ms PA

• Behavior Analyst in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.