Individual provider Active NPI

Awilda Rodriguez

  • Nurse Practitioner
  • Bryn Mawr, PA
National Provider Identifier
1043802648
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP023218 Issued in PA
Practice address
830 Old Lancaster Rd Ste 206
Bryn Mawr, PA 19010-3118
Phone
(484) 380-3094
NPI assigned
Feb 5, 2021
Last updated
May 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP023218 PA Primary
Adult Health Nurse Practitioner 363LA2200X SP023218 PA
Primary Care Nurse Practitioner 363LP2300X SP023218 PA

Addresses

Primary practice location

830 Old Lancaster Rd Ste 206
Bryn Mawr, PA 19010-3118

Mailing address

830 Old Lancaster Rd Ste 206
Bryn Mawr, PA 19010-3118
Phone (484) 380-3094

Other names 1

  • Awilda Valentin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626003758 PA Practitioner - Nurse Practitioner 9032653456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

1240 S Broad St
220 Pulm and Sleep Spec
Lansdale, PA 19446-5395
Phone (856) 234-4436

860 1St Ave
Suite 9a
King of Prussia, PA 19406-4033
Phone (856) 872-7055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP023218PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Nephrology Assoc. LTD CurrentSince Mar 7, 2021 Accepting new patients
Advocare, LLC CurrentSince Jan 1, 2025 Accepting new patients
Bryn Mawr Medical Specialists Association CurrentSince Apr 15, 2024 Accepting new patients
Advocare , LLC CurrentSince Jan 1, 2025 Accepting new patients
Advocare Past Accepting new patients

Locations

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

130 S Bryn Mawr Ave
Ste 206
Bryn Mawr, PA 19010

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

830 Old Lancaster Rd
Ste 206
Bryn Mawr, PA 19010
Phone (610) 525-8110

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

Interoperability endpoints

  • Direct secure messaging: awilda.rodriguez@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1043802648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OLD LANCASTER RD STE 206",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103118",
            "telephone_number": "484-380-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OLD LANCASTER RD STE 206",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103118",
            "telephone_number": "484-380-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AWILDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023218",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP023218",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP023218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AWILDA",
            "last_name": "VALENTIN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.