Individual provider Active NPI

Maria Guadalupe Rodriguez

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1104462613
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234160 Issued in AZ
Practice address
1315 W Southern Ave
Tempe, AZ 85282-4519
Phone
(602) 569-3999
Fax
(602) 569-3887
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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 234160 AZ Primary

Addresses

Primary practice location

1315 W Southern Ave
Tempe, AZ 85282-4519

Mailing address

1533 E Willetta St
Phoenix, AZ 85006-2935
Phone (602) 715-2840

Other practice location 1

15235 N Dysart Rd
El Mirage, AZ 85335-9738
Phone (602) 569-3999

Other practice location 2

7734 N 59th Ave
Glendale, AZ 85301-7816
Phone (602) 569-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20191226000246 AZ Practitioner - Nurse Practitioner 6406280593 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maricopa Pulmonary Consultants LLCGroup PAC ID 7911273644, 9 clinicians

Practice addresses (Care Compare)

720 E Thunderbird Rd
Suite 3
Phoenix, AZ 85022-5396
Phone (602) 844-4855

9225 N 3Rd St
Suite 205
Phoenix, AZ 85020-2464
Phone (480) 867-7223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234160AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica la Familia, PC CurrentSince Jan 6, 2020 Accepting new patients
Infectious Disease Experts of Az PLLC CurrentSince Mar 1, 2023 Accepting new patients
Maricopa Pulmonary Consultants LLC CurrentSince Mar 1, 2025 Accepting new patients
Arizona Primary Care Partners LLC CurrentSince Jan 25, 2023 Accepting new patients
Desert Kidney Associates PLC PastSince Nov 24, 2019 Accepting new patients

Locations

301 E Cottonwood Ln
Ste 1
Casa Grande, AZ 85122
Phone (520) 421-7100

15235 N Dysart Rd
El Mirage, AZ 85335

7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515

616 E Southern Ave
Ste 103
Mesa, AZ 85204

720 E Thunderbird Rd
Ste 3
Phoenix, AZ 85022
Phone (480) 531-1681

111 E Dunlap Ave
Ste 1273
Phoenix, AZ 85020

9225 N 3rd St
Ste 205
Phoenix, AZ 85020
Phone (480) 867-7223

1533 E Willetta St
Phoenix, AZ 85006
Phone (602) 606-7653

19841 N 27th Ave
Ste 403
Phoenix, AZ 85027
Phone (602) 439-0274

16772 W Bell Rd
Ste 110619
Surprise, AZ 85374
Phone (480) 466-0827

16772 W Bell Rd
Surprise, AZ 85374

1315 W Southern Ave
Tempe, AZ 85282
Phone (480) 545-1100

Interoperability endpoints

  • Direct secure messaging: maria.rodriguezfnp.p1@direct.aara.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1104462613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062935",
            "telephone_number": "602-715-2840",
            "fax_number": "602-569-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824519",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15235 N Dysart Rd",
            "address_purpose": "LOCATION",
            "city": "El Mirage",
            "state": "AZ",
            "postal_code": "853359738",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7734 N 59th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853017816",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "234160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.