ANGELICA MARIA RODRIGUEZ (NPI# 1154979409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154979409 |
| Entity Type | Individual |
| Full Name | ANGELICA MARIA RODRIGUEZ |
| Practice Address |
2860 E Flamingo Rd Ste C Las Vegas NV 89121-5270 |
| Practice Telephone | 7025623355 |
| Mailing Telephone | 7025623355 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639732852 | Angelica Marie Rodriguez | Behavior Technician | 1641 Tiburon Dr, Hollister, CA 95023-6222 | 2019-04-15 |
| 1801347257 | Angelica Rodriguez | Behavioral Analyst | 866 Beck St, Apt4b, Bronx, NY 10459-5046 | 2016-10-20 |
| 1922479153 | Angelica Rodriguez | Counselor | 1906 Via Carro, Santa Maria, CA 93458-8288 | 2015-10-14 |
| 1013211044 | Angelica Rodriguez | Counselor | 688 Parker St, Springfield, MA 01129-1020 | 2011-01-05 |
| 1346875713 | Angelica Rodriguez | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2020-03-06 |
| 1154986198 | Angelica Rodriguez | Nurse Practitioner | 400 Westfield Ave, Elizabeth, NJ 07208-1621 | 2019-05-06 |
| 1679136287 | Angelica Rodriguez | Counselor | 10535 Road 35, Madera, CA 93636-8487 | 2019-04-18 |
| 1518431014 | Angelica Rodriguez | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2019-01-17 |
| 1740751536 | Angelica Rodriguez | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-12-06 |
| 1629529003 | Angelica Renee Rodriguez | Behavior Technician | 4910 Airport Ave Ste F, Rosenberg, TX 77471-5759 | 2016-10-20 |
| Street Address |
2860 E FLAMINGO RD STE C |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245301464 | Wwb Incorporated | In Home Supportive Care | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2006-11-10 |
| 1003442732 | Garyana Gordon | Chore Provider | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2020-03-13 |
| 1851922777 | Maria Elena Ramos | Chore Provider | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2020-01-29 |
| 1750927752 | Gwendolyn Latonya Walker | Chore Provider | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2019-11-25 |
| 1639712532 | Isaiah Daniel Gilster | Chore Provider | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2019-10-23 |
| 1326689977 | Da'asha Scarbrough | Chore Provider | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2019-10-04 |
| 1811538606 | Michael Ivanov | Chore Provider | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2019-10-02 |
| 1639728470 | Nicole Holtzdaw | Chore Provider | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2019-09-04 |
| 1053969931 | Yordanys Diaz | Chore Provider | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2019-09-03 |
| 1083261168 | Leonie Cajuste Dumas | Chore Provider | 2860 E Flamingo Rd Ste C, Las Vegas, NV 89121-5270 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.