Individual provider Active NPI

Amanda Lynn Rodriguez, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1205691029
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1194777 Issued in TX
Practice address
13722 Embassy Row
San Antonio, TX 78216-2000
Phone
(458) 200-5687
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2343792 MA
Nurse Practitioner 363L00000X 1194777 TX Primary

Addresses

Primary practice location

13722 Embassy Row
San Antonio, TX 78216-2000

Mailing address

13722 Embassy Row
San Antonio, TX 78216-2000
Phone (458) 200-5687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 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
I20240415002299 MA Practitioner - Nurse Practitioner 8325487051 Reassigns benefits to 2 organizations
I20251016004831 TX Practitioner - Nurse Practitioner 8325487051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woonsocket Urgent Care PCGroup PAC ID 1951305168, shared by 2 NPIs, 23 clinicians
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

1 Wrentham St
Bellingham, MA 02019-2532
Phone (508) 318-4466

103 Providence Hwy
East Walpole, MA 02032-1512
Phone (781) 255-0500

13140 W State Hwy 29
Liberty Hill, TX 78642-6284
Phone (512) 615-9868

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Oct 20, 2025 Accepting new patients
Woonsocket Urgent Care, PC CurrentSince Jun 13, 2024 Accepting new patients
Woonsocket Urgent Care PC CurrentSince Mar 1, 2024 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Woonsocket Urgent Care, PC CurrentSince Mar 1, 2024 Accepting new patients
TMC Provider Group PLLC CurrentSince Oct 20, 2025 Accepting new patients

Locations

1 Wrentham St
Bellingham, MA 02019
Phone (508) 318-4466

103 Providence Hwy
East Walpole, MA 02032
Phone (781) 255-0500

103 Providence Hwy
Ste B
East Walpole, MA 02032
Phone (781) 255-0500

4 Mercer Rd
Natick, MA 01760
Phone (508) 318-4466

2-4 Mercer Rd
Natick, MA 01760
Phone (508) 318-4466

1210 Boston Providence Tpke
Norwood, MA 02062
Phone (781) 255-0500

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

13140 W State Highway 29
Liberty Hill, TX 78642
Phone (512) 615-9868

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1205691029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "458-200-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "458-200-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2343792",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1194777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.