Individual provider Active NPI

Jessica Rodriguez, ARNP

  • Family Nurse Practitioner
  • Coconut Grove, FL
National Provider Identifier
1154912855
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009480 Issued in FL
Practice address
2734 SW 37TH Ave
Coconut Grove, FL 33133-2728
Phone
(305) 642-4263
Fax
(305) 426-3329
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 APRN11009480 FL Primary

Addresses

Primary practice location

2734 SW 37TH Ave
Coconut Grove, FL 33133-2728

Mailing address

12254 SW 263Rd Ter
Homestead, FL 33032-7035

Other practice location 1

12254 SW 263rd Ter
Homestead, FL 33032-7035
Phone (786) 553-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009480FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1154912855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12254 SW 263RD TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 SW 37TH AVE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332728",
            "telephone_number": "305-642-4263",
            "fax_number": "305-426-3329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12254 SW 263rd Ter",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330327035",
            "country_code": "US",
            "telephone_number": "786-553-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSICA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

Verify at the official NPI Registry.