Active NPI
Mary Margaret Rodriguez, RN
- School Registered Nurse
- Tucson, AZ
National Provider Identifier
1285843508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN22103
- Practice address
- 2035 S Howard Stra
200 E. 13TH St.
Tucson, AZ 85713-1442 - Phone
- (520) 225-3017
- Fax
- (520) 225-3001
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN22103 | AZ | Primary |
Addresses
Primary practice location
2035 S Howard Stra
200 E. 13TH St.
Tucson, AZ 85713-1442
Mailing address
200 E. 13TH St.
Tucson, AZ 85701-2140
Phone (520) 225-3017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 573396 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN22103 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285843508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E. 13TH ST.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857012140",
"telephone_number": "520-225-3017",
"fax_number": "520-225-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 S HOWARD STRA",
"address_2": "200 E. 13TH ST.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857131442",
"telephone_number": "520-225-3017",
"fax_number": "520-225-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARY",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN22103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "573396",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.