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Deactivated NPI 1063852358 Deactivated / Inactive NPI Male Practitioner

Vincent Rodriguez , LPN

Licensed Practical Nurse • Milwaukee, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Vincent Rodriguez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2013
NPI Deactivation Date October 25, 2018
Total Practice Duration ~5 Years of Practice (2013 – 2018)

Professional Overview & Biography Verified Profile Summary

Vincent Rodriguez, LPN was a registered Licensed Practical Nurse practicing in Milwaukee, WI. Throughout an active medical career spanning 5 years, Vincent Rodriguez provided care at the practice location at 3707 N RICHARDS ST until profile deactivation on 2018-10-25.

Practice Location & Contact Primary Location

Practice Address

3707 N Richards St

Milwaukee, WI 532121673

Telephone 4149677006
Fax 4149677006
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
375 Specialists

Practicing in Milwaukee, WI (1775 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WI 306342-31

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sabrina Smith , LPN

Licensed Practical Nurse

NPI 1063815603

Licensed Practical Nurse

Kathleen St John

Registered Nurse

NPI 1073120499
Alexis Hassan Thomas , BS, SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1073318549

Bachelor of Science, SACIT

Patricia Martin , LPN

Licensed Practical Nurse

NPI 1083277057

Licensed Practical Nurse

Virgil Joiner , SAC, MSW

Counselor - Addiction (Substance Use Disorder)

NPI 1124343710

SAC, Master of Social Work

Rodney Sessoms , SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1124754197

SACIT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2018

Record deactivated on October 25, 2018

NPI Profile Active July 02, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 02, 2013

Registered at 3707 N RICHARDS ST, MILWAUKEE, WI 532121673 (Tel: 4149677006)

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Updated Business Mailing Address July 02, 2013

Registered at 3707 N RICHARDS ST, MILWAUKEE, WI 532121673 (Tel: 4149677006)

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Provider Name / Credentials Updated July 02, 2013

Recorded as VINCENT RODRIGUEZ, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2013

Licensed Practical Nurse (License #306342-31 in WI)

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Initial NPI Registration & Enumeration July 01, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063852358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2013
Last Update: July 02, 2013
Deactivation Date: October 25, 2018

Mailing Address

3707 N Richards St

Milwaukee, WI 532121673

Phone: 4149677006

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.