Active NPI
Marcia W. Rodriguez, MSP,CCC-SLP
- Speech-Language Pathologist
- Cary, NC
National Provider Identifier
1962561167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7607
- Practice address
- 1505 SW Cary Pkwy
Cary, NC 27511-6219 - Phone
- (919) 387-3140
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7607 | NC | Primary |
Addresses
Primary practice location
1505 SW Cary Pkwy
Cary, NC 27511-6219
Mailing address
265 Bragg CT
Clayton, NC 27527-5394
Phone (919) 457-8699
Other practice location 1
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7607 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1962561167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 BRAGG CT",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275275394",
"telephone_number": "919-457-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 SW CARY PKWY",
"city": "CARY",
"state": "NC",
"postal_code": "275116219",
"telephone_number": "919-387-3140"
}
],
"practiceLocations": [
{
"address_1": "3000 New Bern Ave",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101231",
"country_code": "US",
"telephone_number": "919-350-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARCIA",
"middle_name": "W.",
"credential": "MSP,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.