Individual provider Active NPI

Sandra Vera Rodriguez, FNP, CDE

  • Family Nurse Practitioner
  • Shavano Park, TX
National Provider Identifier
1366516254
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
626712 Issued in TX
Practice address
4118 Pond Hill Rd BLDG 3
Shavano Park, TX 78231-1281
Phone
(210) 494-3739
Fax
(210) 494-4508
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 626712 TX Primary

Addresses

Primary practice location

4118 Pond Hill Rd BLDG 3
Shavano Park, TX 78231-1281

Mailing address

4118 Pond Hill Rd BLDG 3
Shavano Park, TX 78231-1281
Phone (210) 494-3739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070502000164 TX Practitioner - Nurse Practitioner 7719089150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and Metabolism SpecialistsGroup PAC ID 5496751273, 9 clinicians

Practice addresses (Care Compare)

4118 Pond Hill Rd
Suite 300
Shavano Park, TX 78231-1282
Phone (210) 494-3739

Merit-based Incentive Payment System (MIPS)

Final score
98.34 of 100Reported as group
Quality
96.69
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
626712TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Metabolism Specialists CurrentSince Oct 7, 2020 Accepting new patients

Locations

525 Oak Centre Dr
Ste 320
San Antonio, TX 78258
Phone (210) 494-3739

4118 Pond Hill Rd
Ste 300
Shavano Park, TX 78231
Phone (210) 494-3739

4118 Pond Hill Rd
Bldg 3
Shavano Park, TX 78231
Phone (210) 494-3739

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEADA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1366516254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD BLDG 3",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311281",
            "telephone_number": "210-494-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD BLDG 3",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311281",
            "telephone_number": "210-494-3739",
            "fax_number": "210-494-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SANDRA",
        "middle_name": "VERA",
        "credential": "FNP, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "626712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

Verify at the official NPI Registry.