Provider Demographics
NPI:1841637642
Name:RODRIGUEZ, JASMINE (MA, ATR)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MA, ATR
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, ATR
Mailing Address - Street 1:1413 PIPER RD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-4100
Mailing Address - Country:US
Mailing Address - Phone:505-227-5468
Mailing Address - Fax:
Practice Address - Street 1:1413 PIPER RD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-4100
Practice Address - Country:US
Practice Address - Phone:321-837-9784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16-292221700000X
FLIMH20793171W00000X
FL20793101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health