NINA RODRIGUEZ (NPI# 1598199028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598199028 |
| Entity Type | Individual |
| Full Name | NINA RODRIGUEZ |
| Credential | MD |
| Practice Address |
786 D St Jber AK 99505 |
| Mailing Address |
786 D Street Jber AK 99505 |
| Practice Telephone | 9073843828 |
| Practice Fax Number | 3012956173 |
| Mailing Telephone | 9073843828 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101259339 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078170 | Nina Crystal Rodriguez | Behavior Technician | 4910 Airport Ave Ste F, Rosenberg, TX 77471-5759 | 2020-06-18 |
| 1053893370 | Nina Angelica Rodriguez | Behavior Technician | 303 Wyman St Ste 300, Waltham, MA 02451-1255 | 2018-09-04 |
| 1104094176 | Nina Rodriguez | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354-2804 | 2008-02-13 |
| Street Address |
786 D ST |
| City | JBER |
| State | AK |
| Zip Code | 99505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134763378 | Idris Usman | Social Worker | 786 D St., Jber-richardson, AK 99505 | 2019-10-31 |
| 1114578572 | Matthew Coddington | Physical Therapist | Jber Soldier Centered Medical Home, Building 786, D Street, Jber, AK 99505 | 2019-09-26 |
| 1801362132 | Jolene Danielle Sletten | Audiologist | Soldier Centered Medical Home-u.s. Army, 786 D Street, Joint Base Elemendorf-richardson, AK 99505 | 2018-10-14 |
| 1700322773 | Joshua Hatch | Physician Assistant | Bldg 786 D St., Jber, AK 99505 | 2017-01-13 |
| 1578912598 | Jacob Shook | Family Medicine | Medac 7860, Joint Base Elmendorf Richardson, AK 99505 | 2016-06-09 |
| 1699130963 | Tracy Mumbulo | Licensed Practical Nurse | 208 Akutan Ave Unit A, Jber, AK 99505 | 2015-12-30 |
| 1609294933 | Benjamin E. Thompson | Physician Assistant | Jber Scmh, Bldg 786 D St, Jber, AK 99505 | 2014-04-03 |
| 1679990279 | Daniel Lord | Psychologist | 600 Richardson Drive Community Center, Fort Richardson, Anchorage, AK 99505 | 2014-03-21 |
| 1720383185 | Nicole Levaillant | Psychologist | Building 786 D Street, Anchorage, AK 99505 | 2011-01-17 |
| 1407160377 | Christopher Hay Caldwell | Optometrist | Jber Scmh, Bldg 786, Optometry, Jber, AK 99505 | 2010-08-03 |
| Find all providers in zip 99505 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285131854 | Daniel Gennadievich Khokhorin | General Practice | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2018-04-10 |
| 1053703819 | Samuel Philbrick | General Practice | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2015-03-03 |
| 1881084101 | Douglas Katein-taylor | General Practice | 5955 Zeamer Ave, 673d Mdg, Jber, AK 99506-3702 | 2015-01-26 |
| 1952644825 | Paul Ward | General Practice | 5955 Zeamer Ave, 673rd Mdg, Jber, AK 99506-3702 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659846293 | Premier Sports Medicine, Inc. | General Practice | 35670 Kenai Spur Hwy Ste 104, Soldotna, AK 99669-7649 | 2018-10-10 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1245763051 | Carlos Vargas | General Practice | 927 1st Ave, Fairbanks, AK 99701-4350 | 2017-04-07 |
| 1750730594 | Medical Group of Alaska | General Practice | 3190 E Meridian Park Loop Ste 207, Wasilla, AK 99654-7422 | 2016-06-10 |
| 1831580604 | Johnna L Kohl Md LLC | General Practice | 4001 Dale St Ste 201, Anchorage, AK 99508-5445 | 2015-02-13 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| 1518207992 | George Walter Seuffert Sr. | General Practice | Mile 75, Steese Hwy, Box 10297, Fairbanks, AK 99710 | 2013-02-22 |
| 1467708271 | Kevin Arthur Hall | General Practice | 25 Jefferson Way, Suite 102, Ketchikan, AK 99901-5953 | 2012-07-30 |
| 1063797827 | George Baryon Hightower | General Practice | Hc 89 34300 S Talkeetna Spur Road, Talkeetna, AK 99676 | 2011-10-12 |
| 1912295411 | Chadwick William Gaddis | General Practice | 4076 Neely Rd., Ft. Wainwright, AK 99703 | 2011-07-18 |
| 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.