Amy Rodriguez, NP
Individual provider Active NPI Nurse Practitioner · Dinuba, CA
NPI 1124873963 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1124873963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95029894 (CA)
- Practice address
- 355 Monte Vista Dr
Dinuba, CA 93618-9228 - Phone
- (559) 595-7650
- NPI assigned
- Apr 23, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241211003943 | CA | Order and Referring Only - Nurse Practitioner | 9032645254 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95029894 | CA | Yes |
Addresses
Primary practice location
355 Monte Vista Dr
Dinuba, CA 93618-9228
Mailing address
355 Monte Vista Dr
Dinuba, CA 93618-9228
Phone (559) 595-7650
Other providers in Dinuba, CA
- Robert a. Wayda, O.D.
- Robert Farrell
- Carolina Rocha Hernandez
- Angela Marie Rodgers
- Amado Antonio Rodriguez
- Elvia Leticia Rodriguez
- Irene Rodriguez
- Jasmine Rodriguez
- Jose Rodriguez
- Stephanie Rodriguez
All providers in Dinuba, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.