Individual provider Active NPI

Laura Rodriguez, APN

  • Critical Care Medicine Clinical Nurse Specialist
  • Merrillville, IN
National Provider Identifier
1174642763
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X
License
28141035A Issued in IN
Practice address
5800 Broadway
Suite a-J
Merrillville, IN 46410-2601
Phone
(219) 884-9180
NPI assigned
Mar 28, 2007
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 28141035A IN Primary

Addresses

Primary practice location

5800 Broadway
Suite a-J
Merrillville, IN 46410-2601

Mailing address

8913 Doubletree Dr S
Crown Point, IN 46307-9384
Phone (219) 669-8191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120920000773 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 3375791007 Reassigns benefits to 2 organizations
I20171128001366 IL Practitioner - Nurse Practitioner 3375791007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28141035AINMDCritical Care Medicine Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospitalist Physicians, LLP Current Accepting new patients
The University of Chicago Medical Center CurrentSince Dec 31, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Dec 31, 2020 Accepting new patients
Advance Inpatient Medicine LLC CurrentSince Nov 1, 2017 Accepting new patients
Northwest Hospitalist Physicians LLP CurrentSince Sep 18, 2017 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jul 1, 2013 Accepting new patients
University of Chicago CurrentSince Dec 31, 2020 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jul 1, 2013 Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

27350 Network Pl
Chicago, IL 60673

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

339 9th Ave
Lagrange Hlds, IL 60525
Phone (708) 354-4660

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

903 Commerce Dr
Ste 333
Oak Brook, IL 60523
Phone (630) 571-6770

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1131 W Jefferson St
Shorewood, IL 60404

6625 W US Highway 30
Crown Point, IN 46307
Phone (219) 440-5360

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

5800 Broadway
Merrillville, IN 46410
Phone (219) 884-9180

5800 Broadway
Ste Aj
Merrillville, IN 46410
Phone (219) 884-9180

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: lrodriguez195872@uchospital.direct-ci.com
  • Direct secure messaging: lrodriguez30812@themethodisthospitals.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1174642763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 DOUBLETREE DR S",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079384",
            "telephone_number": "219-669-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BROADWAY",
            "address_2": "SUITE A-J",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102601",
            "telephone_number": "219-884-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "IN",
            "license": "28141035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.