Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
SHANTAE RODRIGUEZ
Active
Individual
SHANTAE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
012566
NY
363A00000X
Physician Assistant
Primary
012566
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012566
LICENSE #
NY
01
—
1079871
NCCPA CERT.#
—
Enumeration date
09/17/2008
Last updated
03/16/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up