Individual provider Active NPI

Candice Weierman Rodriguez, CRNA

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
National Provider Identifier
1083010730
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA1082 Issued in AZ
Practice address
4838 E. Baseline Road
Suite 108
Mesa, AZ 85206-4672
Phone
(480) 981-2400
Fax
(480) 981-2407
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA1082 AZ Primary

Addresses

Primary practice location

4838 E. Baseline Road
Suite 108
Mesa, AZ 85206-4672

Mailing address

4838 E. Baseline Road
Suite 108
Mesa, AZ 85206-4672
Phone (480) 981-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128000855 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789908401 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Headache and Spine Institute PLLC CurrentSince May 8, 2022 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Grand Canyon Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2022 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Mountain View Headache and Spine Institute PLLC CurrentSince May 8, 2022 Accepting new patients
Dec Anesthesia LLC CurrentSince Jun 17, 2016 Accepting new patients
Advanced Anesthesia, PLC CurrentSince Dec 5, 2016 Accepting new patients
Flagstaff Pain & Treatment Center CurrentSince Apr 8, 2022 Accepting new patients
Del Anesthesia Services, LLC CurrentSince Jan 1, 2022 Accepting new patients
Gateway Anesthesia and Pain Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2014 Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

823 N San Francisco St
Ste A
Flagstaff, AZ 86001
Phone (480) 213-8488

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2223 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 289-5266

2680 S Val Vista Dr
Ste 127
Gilbert, AZ 85295
Phone (480) 253-5656

18555 N 79th Ave
Bldg C
Glendale, AZ 85308
Phone (623) 776-2500

16390 N 59th Ave
Ste 100
Glendale, AZ 85306
Phone (623) 298-1820

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

4838 E Baseline Rd
Ste 108
Mesa, AZ 85206
Phone (480) 981-2400

4729 E Union Hills Dr
Ste 111
Phoenix, AZ 85050
Phone (602) 482-5444

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

2222 E Highland Ave
Ste 110
Phoenix, AZ 85016
Phone (602) 767-0007

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

8962 E Desert Cove Ave
Scottsdale, AZ 85260
Phone (480) 661-5232

15547 N Reems Rd
Bldg A
Surprise, AZ 85374
Phone (623) 535-9777

610 E Baseline Rd
Tempe, AZ 85283
Phone (480) 969-0405

Organizations & group practices 12

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": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1083010730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 E. BASELINE ROAD",
            "address_2": "SUITE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064672",
            "telephone_number": "480-981-2400",
            "fax_number": "480-981-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E. BASELINE ROAD",
            "address_2": "SUITE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064672",
            "telephone_number": "480-981-2400",
            "fax_number": "480-981-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CANDICE",
        "middle_name": "WEIERMAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.