TATIANA IVETTE RODRIGUEZ
Complete NPI Record 1497453120
Social Worker in Lebanon, PA

NPI Status: Active since February 22, 2023

Contact Information

1700 S LINCOLN AVE
LEBANON, PA
ZIP 17042
Phone: (717) 272-6621

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Complete NPI Dataset

This page represents the complete record for NPI 1497453120. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1497453120
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider First Name: TATIANA
The first name of the provider, if the provider is an individual.
Provider Middle Name: IVETTE
The middle name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 501 E CHESTNUT ST APT 1R
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: LANCASTER
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: PA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 176023571
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Line Business Practice Location Address: 1700 S LINCOLN AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LEBANON
The city name in the mailing address of the provider being identified.
Provider Business Practice Location Address State Name: PA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Practice Location Address Postal Code: 170427529
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7172726621
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 2/22/2023
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 2/28/2023
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Gender Code: F
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Healthcare Provider Taxonomy Code 1: 104100000X
The city name in the location address of the provider being identified.
Provider License Number 1: SW139483
The State code in the location of the provider being identified.
Provider License Number State Code 1: PA
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Healthcare Provider Primary Taxonomy Switch 1: Y
The country code in the location address of the provider being identified.
Is Sole Proprietor: N
The telephone number associated with the location address of the provider being identified.
NPI Certification Date: 2/28/2023