Active NPI
Lacy Ann Rodriguez, NP
- Nurse Practitioner
- Silver City, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 69210
- Practice address
- 114 W 11TH St
Silver City, NM 88061-5136 - Phone
- (575) 388-1511
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 69210 | NM | Primary |
Addresses
Primary practice location
114 W 11TH St
Silver City, NM 88061-5136
Mailing address
1387 Bison Spring Dr
Las Cruces, NM 88012-5105
Phone (575) 574-8380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Albuquerque, NM 87110
Phone (505) 413-3719
Hospital & facility affiliations
- Gila Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidalgo Medical Services | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients | |
| Cura Healthcare | Current | Accepting new patients |
Locations
8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719
530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368
114 W 11th St
Silver City, NM 88061
Phone (575) 388-1511
1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511
7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1649984667
-
- Federally Qualified Health Center (FQHC)
- Lordsburg, NM
- NPI 1306843180
-
- Federally Qualified Health Center (FQHC)
- Silver City, NM
- NPI 1265425425
-
- Federally Qualified Health Center (FQHC)
- Silver City, NM
- NPI 1467971986
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Silver City, NM
- NPI 1336220839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1013639830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1387 BISON SPRING DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880125105",
"telephone_number": "575-574-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W 11TH ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615136",
"telephone_number": "575-388-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LACY",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "69210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.