Individual provider Active NPI

Jodi Rae Rodriguez, FNP-CB

  • Family Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1962154898
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017033 Issued in FL
Practice address
9985 W Remington PL
Littleton, CO 80128-9283
Phone
(720) 818-8010
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11017033 FL Primary

Addresses

Primary practice location

9985 W Remington PL
Littleton, CO 80128-9283

Mailing address

17194 E Adriatic PL Apt F205
Aurora, CO 80013-6825
Phone (239) 298-4699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20220511000538 CO Practitioner - Nurse Practitioner 6709263809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Urgent Care PLLCGroup PAC ID 4981019965, 24 clinicians

Practice addresses (Care Compare)

5657 S Himalaya St
Suite 280
Centennial, CO 80015-5307
Phone (720) 994-2966

9985 W Remington PL
Littleton, CO 80128-9283
Phone (720) 818-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11017033FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axiom Integrative Health PC CurrentSince Oct 14, 2024 Accepting new patients
Mile High Urgent Care PLLC CurrentSince Feb 2, 2022 Accepting new patients
Colorado Urgent Care Physicians, PC Past Accepting new patients

Locations

5657 S Himalaya St
Ste 280
Centennial, CO 80015
Phone (303) 617-0777

9985 W Remington Pl
Littleton, CO 80128
Phone (720) 818-8010

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1962154898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17194 E ADRIATIC PL APT F205",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136825",
            "telephone_number": "239-298-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9985 W REMINGTON PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801289283",
            "telephone_number": "720-818-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JODI",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-CB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.