Sophia Chu Rodgers, CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R19106 Issued in NM

Practice address

10400 Academy Rd NE
#340
Albuquerque, NM 87111-7372

Phone

(505) 298-1558

Fax

(505) 298-7012

NPI assigned

Aug 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srodgers10645@ahs.direct-ci.com

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.

• Southwest Medical Associates, LLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1164491072

  NM

  Medicare reassignment NPD
• Southwest Medical Associates, LLC

  • Rural Health Clinic/Center
  • Roswell, NM
  • NPI 1578255253
  NPD
• Vaspro Inc

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1891784088
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427166552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 ACADEMY RD NE",
            "address_2": "#340",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117372",
            "telephone_number": "505-298-1558",
            "fax_number": "505-298-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 ACADEMY RD NE",
            "address_2": "#340",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117372",
            "telephone_number": "505-298-1558",
            "fax_number": "505-298-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "SOPHIA",
        "middle_name": "CHU",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "R19106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00278039",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q5234",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM016885",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline C Rodgers, CNP
• Jennifer Kimberly Rodgers, PHARM.D.
• Kyle Rodgers, CRNA
• Loralee Ann Rodgers, LMSW
• Maddison H Rodgers
• Taylor Rodgers, CF-SLP
• Troy J. Rodgers, PSY.D., LPCC
• Valerie D. Rodgers, LISW
• Carmen Rodrigo, LPAT
• Mary Teresa Rodrigues, LPCC/LADAC

• All providers in Albuquerque, NM
• Acute Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.