Active NPI
Jannette Rodriguez
- Speech-Language Assistant
- Riverside, CA
National Provider Identifier
1972844231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 1884
- Practice address
- 5945 Brockton Ave
Riverside, CA 92506-1800 - Phone
- (951) 779-1966
- NPI assigned
- Mar 12, 2013
- 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 Assistant | 2355S0801X | 1884 | CA | Primary |
Addresses
Primary practice location
5945 Brockton Ave
Riverside, CA 92506-1800
Mailing address
1575 Webster St
Redlands, CA 92374-2128
Phone (909) 522-2842
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1884 | CA | MD | Perinatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senseabilities a Professional Speech Therapy Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Riverside, CA
- NPI 1801140819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1972844231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 WEBSTER ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742128",
"telephone_number": "909-522-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5945 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061800",
"telephone_number": "951-779-1966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "1884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.