Individual provider Active NPI

Stephanie Rodriguez, FNP

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1396512299
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352659-01 Issued in NY
Practice address
175 Tarrytown Rd
White Plains, NY 10607-1607
Phone
(914) 255-0508
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 F352659-01 NY Primary

Addresses

Primary practice location

175 Tarrytown Rd
White Plains, NY 10607-1607

Mailing address

76 Waller Ave
White Plains, NY 10605-1458
Phone (914) 255-0508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240402003027 NY Practitioner - Nurse Practitioner 3173961711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Hudson Peconic IncGroup PAC ID 8921376138, 17 clinicians

Practice addresses (Care Compare)

175 Tarrytown Rd
White Plains, NY 10607-1607
Phone (914) 761-6566

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F352659-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Feb 21, 2024 Accepting new patients
Planned Parenthood HP Past Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

570 Taxter Rd
Ste 250
Elmsford, NY 10523

755 New York Ave
Ste 333
Huntington, NY 11743
Phone 6314277154 ext. 8005

6 Gramatan Ave
Ste 404
Mount Vernon, NY 10550
Phone (914) 668-7927

450 Waverly Ave
Patchogue, NY 11772
Phone (631) 289-1151

70 Maple Ave
Smithtown, NY 11787
Phone (631) 240-1111

25 Perlman Dr
Spring Valley, NY 10977
Phone (845) 426-7577

180 Sunrise Hwy
West Islip, NY 11795
Phone (631) 893-0150

175 Tarrytown Rd
White Plains, NY 10607
Phone (914) 255-0508

Organizations & group practices 2

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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1396512299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WALLER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051458",
            "telephone_number": "914-255-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TARRYTOWN RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071607",
            "telephone_number": "914-255-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352659-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.