LUIS DAVID RODRIGUEZ (NPI# 1023595055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023595055 |
| Entity Type | Individual |
| Full Name | LUIS DAVID RODRIGUEZ |
| Credential | MA |
| Practice Address |
355 Prairie Ave Providence RI 02905-1928 |
| Practice Telephone | 4012764193 |
| Mailing Telephone | 4012764193 |
| Mailing Fax Number | 4013835737 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658248 | Luis Rodriguez | Psychologist | 1400 Eas Terry Dr Bldg 63 Garrison Hall 5th Floor, Pocatello, ID 83209-0001 | 2018-08-14 |
| 1972001980 | Luis Rodriguez Jr. | Social Worker | 3914 W Newton Ave, Visalia, CA 93291-8994 | 2018-01-24 |
| 1548700099 | Luis E Rodriguez | Chiropractor | Ab1 Calle Reina Isabel Local 1, Urb Bairoa, Caguas, PR 00727 | 2017-03-02 |
| 1134675036 | Luis Raul Rodriguez | Radiologic Technologist | 9056 Sw 148th Ct, Miami, FL 33196-4119 | 2016-08-30 |
| 1740654003 | Luis Alejandro Rodriguez | Specialist/Technologist, Other | 1134 Nw 183rd Ter, Pembroke Pines, FL 33029-3666 | 2015-11-23 |
| 1770955858 | Luis R Rodriguez | Student in an Organized Health Care Education/Training Program | 22 La Reserva Los Prados Guilarte, Caguas, PR 00726 | 2015-10-28 |
| 1104200997 | Luis Rodriguez | Military Health Care Provider | Uss Bremerton # 698, Fpo, AP 96661-2378 | 2015-07-13 |
| 1659791192 | Luis Alberto Rodriguez | Psychologist | 117 Calle Diosdado, Bo. Coco Nuevo, Salinas, PR 00751 | 2014-04-23 |
| 1043659972 | Luis Mauricio Rodriguez | Dentist | 17030 El Camino Real, Houston, TX 77058-2630 | 2013-06-25 |
| 1326284514 | Luis Javier Rodriguez | Nurse Practitioner | 26103 Glenbriar Spring Ln, Cypress, TX 77433-1355 | 2008-12-18 |
| Street Address |
355 PRAIRIE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959867 | The Providence Community Health Centers, Inc | Clinic/Center | 355 Prairie Ave, Providence, RI 02905-5010 | 2005-08-15 |
| 1710521208 | Wesley W. Butt | Family Medicine | 355 Prairie Ave, Providence, RI 02905-1928 | 2019-10-29 |
| 1891342226 | Sahony Natasha Ramos | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2019-08-21 |
| 1386115095 | Ingrid Ayala | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2018-12-07 |
| 1982122198 | Nadia Marisa Tourinho | Social Worker | 355 Prairie Ave, Providence, RI 02915 | 2017-09-07 |
| 1679095947 | Jaai M. Deshpande | Family Medicine | 355 Prairie Ave, Providence, RI 02905-1928 | 2017-07-08 |
| 1720521909 | Gioconda Vazquez | Registered Nurse | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-11-21 |
| 1649622184 | Kristin Lee Malone | Registered Nurse | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-07-08 |
| 1881045789 | Kathryn Oberacker | Nurse Practitioner | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-06-22 |
| 1043669930 | Gabriela Garza | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750930210 | Marykate Machardy | Counselor | 133 Sutton St Apt 1, Providence, RI 02903-1450 | 2019-09-08 |
| 1457904070 | Lilian Dr Schreiner | Counselor | 481 Pine St # 1, Providence, RI 02907-1347 | 2019-07-23 |
| 1770148736 | Emily Mello | Counselor | 530 N Main St Fl 2, Providence, RI 02904-5762 | 2019-05-06 |
| 1235617101 | Andra Renzi | Counselor | 42 Victor St, Providence, RI 02908-3200 | 2018-08-02 |
| 1952809261 | Rosanne Agostinho Pinto | Counselor | 134 Thurbers Ave Ste 102, Providence, RI 02905-4754 | 2018-02-01 |
| 1619494689 | Alexis Georgia Chirban | Counselor | 101 Dudley St Ste 3352, Providence, RI 02905-2401 | 2017-08-29 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1275074171 | Jaissen M Jackson | Counselor | 194 Webster Ave, Providence, RI 02909-3818 | 2017-03-13 |
| 1932577509 | Loren Margelefsky | Counselor | 160 Irving Ave, Apt 1c, Providence, RI 02906-5407 | 2015-09-12 |
| 1366824856 | Brittany Bouffard | Counselor | 641 Smith St, Providence, RI 02908-4351 | 2015-06-22 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.