Individual provider Active NPI

Monica A. Rodriguez

  • Family Nurse Practitioner
  • Cloudcroft, NM
National Provider Identifier
1023429552
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02411 Issued in NM
Practice address
93 Little Glorietta
Cloudcroft, NM 88317-0013
Phone
(575) 682-3309
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-02411 NM Primary

Addresses

Primary practice location

93 Little Glorietta
Cloudcroft, NM 88317-0013

Mailing address

PO Box 834
26 Hummingbird LN.
High Rolls Mountain Park, NM 88325-0834
Phone (575) 682-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CNP-02411NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terra Rosa Health Services LLC Past Accepting new patients
White Sands Family Practice Clinic, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/h9KqHATFapnAh9QYI0aR69I-qK5X4t_N/
  • FHIR API: https://api.platform.athenahealth.com/21660/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1023429552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "address_2": "26 HUMMINGBIRD LN.",
            "city": "HIGH ROLLS MOUNTAIN PARK",
            "state": "NM",
            "postal_code": "883250834",
            "telephone_number": "575-682-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 LITTLE GLORIETTA",
            "city": "CLOUDCROFT",
            "state": "NM",
            "postal_code": "883170013",
            "telephone_number": "575-682-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MONICA",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloudcroft, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.