NPIMap

Individual provider Active NPI

Steven Rodriguez, CRNP

  • Family Nurse Practitioner
  • Blandon, PA
National Provider Identifier
1306404082
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020398 Issued in PA
Practice address
108 Plaza Dr Ste 100
Blandon, PA 19510-9454
Phone
(610) 208-4650
Fax
(610) 916-2787
NPI assigned
May 29, 2019
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020398 PA Primary

Addresses

Primary practice location

108 Plaza Dr Ste 100
Blandon, PA 19510-9454

Mailing address

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828003033 PA Practitioner - Nurse Practitioner 5294063228 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Emergency Physician Associates of Pennsylvania PCGroup PAC ID 5597663252, 88 clinicians

Practice addresses (Care Compare)

1109 Grosser Rd
LVPG Emergency Medicine Gilbertsville
Gilbertsville, PA 19525-9228
Phone (484) 498-6060

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020398PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physician Services of Maryland, PC CurrentSince Aug 1, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2024 Accepting new patients
St Joseph Regional Health Network CurrentSince Dec 24, 2019 Accepting new patients
St Joseph Regional Health Network CurrentSince Dec 24, 2019 Accepting new patients
St. Joseph Regional Health Network Current Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Emergency Physician Associates of Pennsylvania, PC CurrentSince May 1, 2024 Accepting new patients
Atlantic Physician Services of Maryland, P.C. CurrentSince Aug 1, 2019 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients

Locations

1200 S Cedar Crest Blvd
Fl 2
Allentown, PA 18103
Phone (610) 402-6164

2100 Mack Blvd
Fl 4
Allentown, PA 18103

108 Plaza Dr
Blandon, PA 19510
Phone (610) 208-4650

108 Plaza Dr
Ste 100
Blandon, PA 19510
Phone (610) 208-4650

108 Plaza Dr
Ste 101
Blandon, PA 19510
Phone (610) 208-4650

1109 Grosser Rd
Gilbertsville, PA 19525
Phone (484) 498-6060

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

145 N 6th St
Fl 2
Reading, PA 19601
Phone (610) 208-4558

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

4301 5th Street Hwy
Ste 102
Temple, PA 19560

Interoperability endpoints

  • Direct secure messaging: srodriguez38452@direct2.lvhn.org

Organizations & group practices 12

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 1

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1306404082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2000",
            "fax_number": "610-378-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PLAZA DR STE 100",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109454",
            "telephone_number": "610-208-4650",
            "fax_number": "610-916-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEVEN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blandon, PA

Sources for this page

Verify at the official NPI Registry.