Organization Active NPI

Upper Valley Family Clinic, PLLC

  • Primary Care Clinic/Center
  • Edinburg, TX
National Provider Identifier
1194345405
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
UPPER VALLEY FAMILY CLINIC, PLLC
Practice address
1156 W Monte Cristo Rd
Edinburg, TX 78541-4541
Phone
(956) 460-5099
NPI assigned
Apr 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Authorized official

Name
Mrs. Nilda Dianne Rodriguez, APRN, FNP-C
Title
Family Nurse Practitioner
Phone
(956) 609-9339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1156 W Monte Cristo Rd
Edinburg, TX 78541-4541

Mailing address

1156 W Monte Cristo Rd Ste B
Edinburg, TX 78541-4541
Phone (956) 609-9339

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2192653Upper Valley Family Clinic PLLC1156 W Monte Cristo Rd, Edinburg, TX 78541Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Locations

1156 W Monte Cristo Rd
Ste B
Edinburg, TX 78541
Phone (956) 609-9339

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601164800000",
    "number": "1194345405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 W MONTE CRISTO RD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785414541",
            "telephone_number": "956-609-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 W MONTE CRISTO RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785414541",
            "telephone_number": "956-460-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY FAMILY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NILDA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "956-609-9339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.