Individual provider Active NPI

Magdalena Rodriguez, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1316499817
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002390 Issued in NV
Practice address
2080 E Flamingo Rd Ste 312
Las Vegas, NV 89119-5181
Phone
(702) 528-2195
Fax
(702) 778-8026
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 APRN002390 NV Primary

Addresses

Primary practice location

2080 E Flamingo Rd Ste 312
Las Vegas, NV 89119-5181

Mailing address

2080 E Flamingo Rd Ste 312
Las Vegas, NV 89119-5181
Phone (702) 528-2195

Other practice location 1

6480 Crest Estates St
Las Vegas, NV 89131-3253
Phone (702) 528-2195

Other identifiers 1

IdentifierTypeStateIssuer
1316499817MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20161221000481 NV Practitioner - Nurse Practitioner 5294016796

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1316499817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 312",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195181",
            "telephone_number": "702-528-2195",
            "fax_number": "702-778-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 312",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195181",
            "telephone_number": "702-528-2195",
            "fax_number": "702-778-8026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6480 Crest Estates St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891313253",
            "country_code": "US",
            "telephone_number": "702-528-2195",
            "fax_number": "702-778-8026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAGDALENA",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316499817",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.