Individual provider Active NPI

Dana Lynn Rodriguez

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1417554304
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008140 Issued in FL
Practice address
2700 Healing Way Ste 300
Wesley Chapel, FL 33543-5453
Phone
(813) 333-1186
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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 APRN11008140 FL Primary

Addresses

Primary practice location

2700 Healing Way Ste 300
Wesley Chapel, FL 33543-5453

Mailing address

7427 Alafia Ridge Rd
Riverview, FL 33569-4705
Phone (813) 992-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20201104001381 FL Practitioner - Nurse Practitioner 5799195681 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008140FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuspine Institute LLC CurrentSince Oct 27, 2020 Accepting new patients
Neuspine Institute LLC CurrentSince Oct 27, 2020 Accepting new patients

Locations

510 Vonderburg Dr
Ste 213
Brandon, FL 33511
Phone (813) 347-8483

2590 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 219-3269

2653 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 324-1939

2700 Healing Way
Ste 300
Wesley Chapel, FL 33543
Phone (813) 467-4756

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1417554304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7427 ALAFIA RIDGE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335694705",
            "telephone_number": "813-992-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY STE 300",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435453",
            "telephone_number": "813-333-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.