JASON RODRIGUEZ


Address: 1747 Imperial Blvd, Lake Charles, LA 70605-5362
Phone: 3377217236

JASON RODRIGUEZ (NPI# 1124370960) 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) 1124370960
Entity Type Individual
Full Name JASON RODRIGUEZ
Credential MS, LAT, ATC
Practice Address 1747 Imperial Blvd
Lake Charles
LA 70605-5362
Mailing Address 4317 Ashland St
Lake Charles
LA 70605-4401
Practice Telephone 3377217236
Enumeration Date 2012-10-03
Last Update Date 2020-01-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
ATH.200098 LA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JASON RODRIGUEZ

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1538536313 Jason Howard Rodriguez Nurse Practitioner 4704 Mary Hall Ln, Chattanooga, TN 37416-2613 2015-08-27
1568014009 Jason Rodriguez Optometrist 223 Main St, Vincennes, IN 47591-1208 2019-07-15
1235791864 Jason Rodriguez Counselor 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 2019-07-03
1417417817 Jason Daniel Rodriguez Student in an Organized Health Care Education/Training Program 405 W Grand Ave, Dayton, OH 45405-7538 2019-03-21
1205322138 Jason Rodriguez Counselor 993 Postal Way, Vista, CA 92083-6945 2018-07-03
1083103766 Jason L Rodriguez Counselor 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 2018-05-08
1013335116 Jason Rodriguez Counselor 6305 Woodman Ave, Van Nuys, CA 91401-2346 2014-04-04
1093078339 Jason Michael Rodriguez Internal Medicine 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2012-06-21
1164714457 Jason Christopher Rodriguez Technician, Other 260 Guard Rd, Aguadilla, PR 00603-1304 2011-05-05
1023250560 Jason William Rodriguez Psychiatry & Neurology 4455 E 12th Ave, Denver, CO 80220-2415 2009-03-30

Office Location

Street Address 1747 IMPERIAL BLVD
City LAKE CHARLES
State LA
Zip Code 70605-5362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487649091 Staci Simon Boudreaux Physician Assistant 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2005-09-20
1376168971 Cody Gaupel Student in an Organized Health Care Education/Training Program 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2020-06-10
1538703335 Center for Orthopaedics and Spine LLC Family Medicine 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2019-11-05
1013579150 Bradley Lane Jimerson Student in an Organized Health Care Education/Training Program 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2019-06-28
1912560541 Haley Cook Cart Physician Assistant 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2019-04-18
1174014534 Susan Helms Cart Occupational Therapist 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2018-05-22
1679071161 Ashley A Nix Registered Nurse 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2018-01-30
1235584004 Matthew Mccabe Podiatrist 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2016-04-29
1295100808 Lauren Ashley Sexton Specialist/Technologist 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2015-12-08
1326422924 Lance Henagan Nurse Practitioner 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2015-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780283606 Kristin R Morris Clinical Nurse Specialist 1900 W. Gaythier Rd, Lake Charles, LA 70605 2020-10-21
1548871577 Jacob M Theriot Nurse Practitioner 2640 County Club Rd., Lake Charles, LA 70605 2020-08-13
1053898403 Heather Spallino Duplechain Nurse Practitioner 6713 Nelson Rd., Lake Charles, LA 70605 2018-07-27
1578057956 Noor Deeb Weckerly Nurse Practitioner 6713 Nelson Rd, Lake Charles, LA 70605 2018-06-19
1861993354 Therapy Works of Swla LLC Physical Therapist 4750 Lake Street, Lake Charles, LA 70605 2018-02-21
1669998852 Amd Healthcare Lc, LLC General Acute Care Hospital 3730 Nelson Road, Lake Charles, LA 70605 2017-08-18
1619422474 Kaitlyn Pinkerton Specialist/Technologist 800 E Mcneese St, Lake Charles, LA 70605 2016-08-22
1104274679 Kelly Rogers Counselor 90 N. Luke 102l, Lafayette, LA 70605 2016-05-25
1548616220 Lisa Monticello Snider Neurological Surgery 3297 Portrush Drive, Lake Charles, LA 70605 2016-05-11
1114387404 Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De Dentist 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 2016-02-29
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467003822 Sarah Jane Walley Specialist/Technologist 800 E Mcneese Street, Lake Charles, LA 70607 2019-09-26
1952872715 Akira Kohjiki Specialist/Technologist 5020 Pecan Acres St, Apt 1 D, Lake Charles, LA 70605-7060 2018-12-05
1851861330 Shannon Marie Melvin Specialist/Technologist 800 East Mcneese, Lake Charles, LA 70607 2018-11-28
1326517699 Vincent Michael Williams Specialist/Technologist 800 East Mcneese St, Lake Charles, LA 70607 2018-11-16
1851886725 Natalia Sumodjo Specialist/Technologist 5200 Nelson Rd Apt 516, Lake Charles, LA 70605-0810 2018-06-24
1528567617 Kaelyn Ashley Sweet Specialist/Technologist 4111 Primrose Dr, Lake Charles, LA 70605-0291 2018-02-05
1194231852 Justin King Specialist/Technologist 700 E Mcneese St, Lake Charles, LA 70607-5832 2017-12-18
1902341969 Alexander Rozas Specialist/Technologist 1200 Benvue Ln, Lake Charles, LA 70605-2655 2016-12-30
1619422474 Kaitlyn Pinkerton Specialist/Technologist 800 E Mcneese St, Lake Charles, LA 70605 2016-08-22
1770932022 Jamey Rasberry Specialist/Technologist 2322 Regena Dr, Lake Charles, LA 70611-4538 2016-06-08
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Competitor

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City LAKE CHARLES
Zip Code 70605

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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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