Cynthia Carolina Sepulveda Rodriguez, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

10794-33 Issued in WI

Practice address

147 W Rockwell St
Jefferson, WI 53549-2048

Phone

(920) 674-6255

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rainbow Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Jefferson, WI
  • NPI 1538134499
  NPD
• Rainbow Hospice Care, Inc.

  • Nurse Practitioner
  • Johnson Creek, WI
  • NPI 1821799727
  NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1952987273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W ROCKWELL ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492048",
            "telephone_number": "920-674-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W ROCKWELL ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492048",
            "telephone_number": "920-674-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA RODRIGUEZ",
        "first_name": "CYNTHIA",
        "middle_name": "CAROLINA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10794-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• School District of Jefferson
• Katherin Almira Schultz, MS, LMFT, CSAC
• Dean Harley Schwieso I
• Elizabeth Anne Secrest, BS
• Select Integrity Family Services, LLC
• Carrie Louise Shimkus, LPC
• Samantha Rae Sims
• Lindsey Leigh Slatter
• Renee Spitzer, PHARMD
• Sport & Spine Clinic of Fort Atkinson Limited Partnership

• Nurse Practitioner in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.