LISA M RODRIGUEZ


Address: 186 Bedford St, Eliot Community Human Services, Lexington, MA 02420-4436
Phone: 7818610890

LISA M RODRIGUEZ (NPI# 1164498929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164498929
Entity Type Individual
Full Name LISA M RODRIGUEZ
Other Name LISA REYNOLDS
Credential N.P.
Practice Address 186 Bedford St
Eliot Community Human Services
Lexington
MA 02420-4436
Practice Telephone 7818610890
Practice Fax Number 7818610899
Mailing Telephone 7818610890
Mailing Fax Number 7818610899
Enumeration Date 2006-02-23
Last Update Date 2016-05-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
191178 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA MEDICARE PTAN NP455301 01

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1265063481 Lisa Christine Rodriguez Behavioral Analyst 10327 Grand River Rd Ste 401, Brighton, MI 48116-6501 2020-01-27

Office Location

Street Address 186 BEDFORD ST
ELIOT COMMUNITY HUMAN SERVICES
City LEXINGTON
State MA
Zip Code 02420-4436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013455823 Tyler Smith Buckhout Psychologist 186 Bedford St, Lexington, MA 02420-4436 2017-02-01
1811439193 Dolores Beliso Case Manager/Care Coordinator 186 Bedford St, Lexington, MA 02420-4436 2016-11-17
1598149874 Sarah Amaral Counselor 186 Bedford St, Lexington, MA 02420-4436 2015-07-16
1114323110 Glavia Smith Social Worker 186 Bedford St, Lexington, MA 02420-4436 2014-11-18
1447654033 Laureen Sandler Counselor 186 Bedford St, Lexington, MA 02420-4436 2014-10-10
1225471410 Nancy A Maclean Counselor 186 Bedford St, Lexington, MA 02420-4436 2013-04-08
1073868733 John Deng Nyuon Social Worker 186 Bedford St, Lexington, MA 02420-4436 2012-07-18
1891089181 Porsha Coaston Counselor 186 Bedford St, Lexington, MA 02420-4436 2011-06-03
1245538818 Ketna Julmeus Case Manager/Care Coordinator 186 Bedford St, Lexington, MA 02420-4436 2011-03-07
1346546595 Darlyn Noel Counselor 186 Bedford St, Lexington, MA 02420-4436 2011-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568958643 Kristen Gargiulo Physical Therapist 57 Bedord Street, Ste 202, Lexington, MA 02420 2018-07-02
1902311616 Lindsey Nicole Wilcox Physical Therapist 57 Bedford St Ste 202, Lexington, MA 02420 2017-12-05
1629590443 Jeffrey Phillip Winer Psychologist 57 Bedford St Ste 230, Lexington, MA 02420 2017-07-13
1235678178 Rebecca Munini Counselor 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 2017-02-13
1700332376 Aretha Cohen Speech-Language Pathologist 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 2016-09-01
1710387915 Niravkumar Patel Internal Medicine 4 Hadley Rd, Lexington, MA 02420 2014-08-26
1316368749 Triad Adolescent Services Counselor 363 Mass Ave, Suite 204, Lexington, MA 02420 2014-01-03
1447698063 Emily Flier Matteodo Psychiatry & Neurology 35 Bedford Street, Suite #6, Lexington, MA 02420 2013-06-05
1780941914 Varun Kapur Surgery 33 York St, Lexington, MA 02420 2012-04-12
1992091433 Karolyn Mary Franz Acupuncturist 238 Bedford St Ste 5, Lexington, MA 02420 2011-06-23
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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1811374887 Hannah Lynn Puntney Nurse Practitioner 800 Rose St. Ms 235, Lexington, KY 40536 2015-04-29
1508294000 Kelly Caroline Nelson Nurse Practitioner 740 S Limestone Rm J442, Lexington, KY 40536-0001 2013-10-18
1891097580 Jocelyn Miller Snider Nurse Practitioner 1223 S Lake Dr, Lexington, SC 29073-6889 2010-12-01
1467789974 Amanda Faith Dressman Nurse Practitioner 1780 Nicholasville Rd Ste 301, Lexington, KY 40503-1413 2009-11-05
1932378593 Katherine Elaine Fletcher Nurse Practitioner 1135 Red Mile Pl, Lexington, KY 40504-1172 2008-02-27
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1598804973 Carol Ennis Martin Nurse Practitioner The Kentucky Clinic Wing D J252, 740 S. Limestone, Lexington, KY 40536 2007-02-05
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Competitor

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City LEXINGTON
Zip Code 02420

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Dataset Information

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.

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