Sandra Rodriguez, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

723656 Issued in TX

Practice address

502 S Old Orchard LN Ste 126
Lewisville, TX 75067-4374

Phone

(972) 436-7962

Fax

(972) 420-0085

NPI assigned

Dec 11, 2019

Last updated

Dec 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Pediplace

  • Pediatric Nurse Practitioner
  • Lewisville, TX
  • NPI 1467573311

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1043858913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S OLD ORCHARD LN STE 126",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674374",
            "telephone_number": "972-436-7962",
            "fax_number": "972-420-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S OLD ORCHARD LN STE 126",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674374",
            "telephone_number": "972-436-7962",
            "fax_number": "972-420-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "723656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockbrook Senior Living Inc. (Rockbrook Assisted Living and Memory Care)
• Palma Guadalupe Rodriguez Enriquez
• Christina Catherine Rodriguez, MPT, ATP
• Lizzeth Rodriguez
• Rosa Lydia Rodriguez, LMT
• Elizabeth Ann Roeder-Kliemann, LVN
• Charlena Rogers
• Theresa Valerie Romero
• Keegan Victoria Roquebert, M.S.
• Julie Kearns Rose, LMFT ASSOCIATE

• Pediatric Nurse Practitioner in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.