KELLY D RODRIGUEZ (NPI# 1477806685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477806685 |
| Entity Type | Individual |
| Full Name | KELLY D RODRIGUEZ |
| Other Name | KELLY DALE RUTLEDGE |
| Practice Address |
4705 Careo Dr Antelope CA 95843-5182 |
| Practice Telephone | 9162762001 |
| Mailing Telephone | 9162762001 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993178 | Kelly Rodriguez | Social Worker | 1000 10th Ave, New York, NY 10019-1147 | 2020-05-07 |
| 1689293425 | Kelly Hiliana Rodriguez | Pharmacist | 1107 E Army Post Rd, Des Moines, IA 50315-5942 | 2020-04-12 |
| 1235604877 | Kelly Rodriguez | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2018-10-10 |
| 1972039196 | Kelly Rodriguez | Psychologist | 1405 E Guadalupe Rd, Tempe, AZ 85283-3971 | 2017-05-08 |
| 1710380860 | Kelly Ann Rodriguez | Psychologist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-10-03 |
| 1902231533 | Kelly R Rodriguez | Marriage & Family Therapist | 1501 Hughes Way, Suite 150, Long Beach, CA 90810-1876 | 2013-09-13 |
| 1811250814 | Kelly Rodriguez | Counselor | 215 W Broadway St, Suite #1, Hobbs, NM 88240-6065 | 2012-06-25 |
| 1437435989 | Kelly C Rodriguez | Counselor | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2011-10-28 |
| 1568455103 | Kelly M Rodriguez | Family Medicine | 20905 Professional Plz, Ste 330, Ashburn, VA 20147-7783 | 2005-08-30 |
| Street Address |
4705 CAREO DR |
| City | ANTELOPE |
| State | CA |
| Zip Code | 95843-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881196350 | Attayla Marnyce Bell | Behavior Technician | 8438 Cedar Hill Ct, Antelope, CA 95843 | 2018-03-01 |
| 1699297259 | Alexej Iovita | Nursing Home Administrator | 4136 Singing Tree Way, Antelope, CA 95843 | 2017-07-14 |
| 1447386362 | Rescare California, Inc. | Intermediate Care Facility, Mentally Retarded | 8141 Chimango Way, Antelope, CA 95843 | 2007-02-26 |
| 1144373838 | Cynthia Louise Simpson | Dental Hygienist | 8124 Sheehan Way, Antelope, CA 95843 | 2007-01-18 |
| 1750471140 | Dental Corporation of Ghazal Buehler Rodgers | Dentist | 8008 Walerga Rd, Ste. 100, Antelope, CA 95843 | 2006-10-13 |
| 1235245168 | Vimal Amral Dulabh | Dentist | 3535 Elverta Rd, Suite E, Antelope, CA 95843 | 2006-08-22 |
| 1073987269 | Rex Anthony Gamoke | Pharmacist | 4331 Antelope Rd, Antelope, CA 95843 | 2015-11-25 |
| 1134302524 | Firstsight Vision Services, Inc. | Optometrist | 5821 Antelope North Rd, Antelope, CA 95843 | 2007-12-10 |
| 1386116630 | Juliya Sitaruk | Behavior Technician | 3015 Scotland Dr, Antelope, CA 95843-1928 | 2018-12-27 |
| 1861672057 | Firstsight Vision Services, Inc. | Optometrist | 7901 Watt Ave, Antelope, CA 95843-2000 | 2007-11-06 |
| Find all providers in zip 95843 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235316324 | Danielle Elizabeth Peters | Counselor | 8410 Misty Oak Way, Antelope, CA 95843-5830 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1801497854 | Amor Serra | Counselor | 1543 Colusa Pl, Salinas, CA 93906-2512 | 2020-11-05 |
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1093314536 | Ryan Tyler Corbin | Counselor | 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
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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.