Restydale Rodriguez Isip, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP146158 Issued in TX

Practice address

6102 Parkway Dr. Suite 106
Corpus Christi, TX 78414

Phone

(361) 205-1024

NPI assigned

Mar 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Coastal Bend Pulmonary and Critical Care Associates PLLCGroup PAC ID 3375818735, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pam Rehabilitation Hospital of Corpus Christi Inpatient rehabilitation facility, Corpus Christi, TX, CCN 673067

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIJIBD

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.

• Texas Coastal Bend Pulmonary & Critical Care Associates PLLC

  • Pulmonary Disease Physician
  • Corpus Christi, TX
  • NPI 1497270680
  Medicare reassignment Care Compare group NPD

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

• Post Acute Medical Rehabilitation Hospital of Corpus Christi, LLC

  • Rehabilitation Hospital
  • Corpus Christi, TX
  • NPI 1003340639

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1184200461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 ENNIS JOSLIN RD APT 1115",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124352",
            "telephone_number": "361-549-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 PARKWAY DR. SUITE 106",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "361-205-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5826 Esplanade Dr Ste 304B",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144173",
            "country_code": "US",
            "telephone_number": "361-226-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISIP",
        "first_name": "RESTYDALE",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP146158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khyler Isaacs
• Isd Corpus Christi LLC
• Isd Renal Inc
• Isd Renal Inc
• Isd Renal Inc
• Shah Faizul Islam, M.D.
• Island Physicians LLC
• Alina Istomina, MD
• Prachi Jain Italiya, DO
• Shani Italiya

• Family Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.