LYDIA RODRIGUEZ (NPI# 1790149961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790149961 |
| Entity Type | Individual |
| Full Name | LYDIA RODRIGUEZ |
| Credential | WHNP |
| Practice Address |
310 W Losey St Scott Afb IL 62225-5250 |
| Mailing Address |
908 Indian Prairie Dr Mascoutah IL 62258 |
| Practice Telephone | 6182567669 |
| Mailing Telephone | 8018662981 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
28164518A | IN | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
9873492-4405 A.P | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316389091 | Lydia M Rodriguez | Physical Therapist | 91 Calle Willie Rosario, Coamo, PR 00769-3015 | 2013-07-23 |
| 1255647863 | Lydia Mercedes Rodriguez | Counselor | Carretera #14, Ave. Tito Castro, Ponce, PR 00732 | 2010-08-20 |
| 1144830795 | Lydia Mary Rodriguez | Behavior Technician | 4688 Ontario Mills Pkwy, Ontario, CA 91764-5104 | 2020-08-07 |
| 1336702836 | Lydia Rodriguez | Massage Therapist | 1149 N 2nd St, El Cajon, CA 92021-5024 | 2019-04-19 |
| 1831559731 | Lydia Rodriguez | Registered Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-03-04 |
| 1447610951 | Lydia Rodriguez | Licensed Practical Nurse | 6140 S Broadway, Lorain, OH 44053-3821 | 2016-02-25 |
| Street Address |
310 W LOSEY ST |
| City | SCOTT AFB |
| State | IL |
| Zip Code | 62225-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839727 | Toney L Banks | Nurse Anesthetist, Certified Registered | 310 W Losey St, Scott Afb, IL 62225-5250 | 2005-05-30 |
| 1841814852 | Hilary Elizabeth Parsons | Student in an Organized Health Care Education/Training Program | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-06-04 |
| 1447874722 | Mauranda Nikki Bembry | Social Worker | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-06-03 |
| 1437778016 | Mark Alan Underhill | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-04-13 |
| 1194353276 | Kolin Daniel Cookson | Student in an Organized Health Care Education/Training Program | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-04-01 |
| 1831723592 | Linh Thuy Truong | Dentist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-03-02 |
| 1346890894 | Crystal June Garcia | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-09-17 |
| 1740835602 | Andres Alejandro Paredes | Physician Assistant | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-08-07 |
| 1215580386 | Ryan Taylor Blalock | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-07-18 |
| 1063975001 | Collin Schroeder | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
| 1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1841853710 | Lance Scott Mcgavin | Student in an Organized Health Care Education/Training Program | 307 West Losey Street., Building #1535, Scott Afb, IL 62225 | 2019-04-17 |
| 1629503180 | Joshua Bryce Kessack | General Practice | 375 Amds, 310 Losey St, Scott Afb, IL 62225 | 2017-04-21 |
| 1265988059 | Jennifer Nicole Laurence | Dentist | 703 Seibert Rd Ste 5, Scott Afb, IL 62225 | 2016-08-31 |
| 1578940755 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 207 W. Winters St., Bldg 1981, Scott Afb, IL 62225 | 2015-04-27 |
| 1891193652 | Diana Meyer | Social Worker | Scott Afb, Apo, AA 62225 | 2014-12-10 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1487998746 | Melissa Dawn Goff | Military Health Care Provider | 310 West. Losey Street, Scott Afb, IL 62225 | 2012-11-26 |
| Find all providers in zip 62225 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538398425 | Cindy Louise Craddock | Nurse Practitioner | 375th Mdg/hcos, Women's Health Clinic, 310 W. Losey St., Scott Afb, IL 62225 | 2009-07-13 |
| 1518953645 | Christine Marie Bucher | Nurse Practitioner | 310 W Losey St, Scott Afb, IL 62225-5250 | 2005-09-23 |
| 1861487522 | Helen M Horn | Nurse Practitioner | 310 W Losey St, Scott Afb, IL 62225-5250 | 2005-09-19 |
| 1093709800 | Darlene Ruth Brunner | Nurse Practitioner | 310 W Losey St, Scott Afb, IL 62225-5250 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455306 | Megan Bishoff | Nurse Practitioner | 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 | 2020-10-21 |
| 1881292019 | Dana Beth Yednock | Nurse Practitioner | 1444 E Broadway St, Streator, IL 61364-2535 | 2020-10-10 |
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
| 1063990588 | Lisa Hammons | Nurse Practitioner | 14470 S La Grange Rd, Orland Park, IL 60462-2630 | 2018-08-06 |
| 1750874459 | Valerie Wezran | Nurse Practitioner | 3 Ontario St Apt 1, Oak Park, IL 60302-2573 | 2018-06-08 |
| 1033626262 | Heather Ann San Juan | Nurse Practitioner | 613 S Poplar Ave, Elmhurst, IL 60126-4061 | 2018-01-09 |
| 1124530340 | Kristy Wienstroer | Nurse Practitioner | 1191 Fortune Blvd, Shiloh, IL 62269-7377 | 2017-10-27 |
| 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.