Individual provider Active NPI

Elizabeth Rodriguez, RN

  • Administrator Registered Nurse
  • Cedar Park, TX
National Provider Identifier
1366064123
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
788726 Issued in TX
Practice address
1717 Scottsdale Dr Ste 120
Cedar Park, TX 78641-4340
Phone
(512) 771-9647
NPI assigned
May 14, 2020
Last updated
May 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 788726 TX Primary

Addresses

Primary practice location

1717 Scottsdale Dr Ste 120
Cedar Park, TX 78641-4340

Mailing address

1901 Cedar Bend Dr
Round Rock, TX 78681-2126
Phone (512) 771-9647

Other identifiers 1

IdentifierTypeStateIssuer
788726OtherTXRN LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Vesselatx.com

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

LicenseStateTypeSpecialty
788726TXMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1366064123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CEDAR BEND DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812126",
            "telephone_number": "512-771-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SCOTTSDALE DR STE 120",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786414340",
            "telephone_number": "512-771-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "788726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "788726",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Vesselatx.com",
            "affiliation": "N",
            "address_1": "1717 Scottsdale Dr Ste 120",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786414340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.