Individual provider Active NPI

Sandra Anne Rodriguez, CNM DNP LNC

  • Advanced Practice Midwife
  • Weslaco, TX
National Provider Identifier
1114474186
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
109884 Issued in TX
Practice address
913 S Airport Dr
Suite a
Weslaco, TX 78596-6651
Phone
(956) 647-5529
Fax
(956) 647-5617
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 109884 TX Primary

Addresses

Primary practice location

913 S Airport Dr
Suite a
Weslaco, TX 78596-6651

Mailing address

913 S Airport Dr
Suite a
Weslaco, TX 78596-6651
Phone (956) 647-5529

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819003250 TX Practitioner - Certified Nurse Midwife (CNM) 3779909833 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109884TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edinburg Obstetrics, Gyneceology & Infertility Clinic PA CurrentSince Aug 1, 2020 Accepting new patients
Annabelle Lopez M.D., P.a. PastSince Sep 2, 2013 Accepting new patients

Locations

910 S Closner Blvd
Edinburg, TX 78539
Phone (956) 380-3441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7996/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1114474186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S AIRPORT DR",
            "address_2": "SUITE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966651",
            "telephone_number": "956-647-5529",
            "fax_number": "956-647-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S AIRPORT DR",
            "address_2": "SUITE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966651",
            "telephone_number": "956-647-5529",
            "fax_number": "956-647-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SANDRA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "CNM DNP LNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "109884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.