Penny Rush Rodrigue, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

214172 Issued in LA

Practice address

604 N Acadia Rd Ste 405
Thibodaux, LA 70301-4897

Phone

(985) 446-0874

NPI assigned

Jul 14, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFEIBA
• Direct secure messaging: prodrigue@kidneycenter.org

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.

• Kidney Center of South Louisiana, AMC

  • Nephrology Physician
  • Thibodaux, LA
  • NPI 1386858918
  NPD

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1457979684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD STE 405",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-446-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD STE 405",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-446-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUE",
        "first_name": "PENNY",
        "middle_name": "RUSH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PRodrigue@kidneycenter.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "604 N Acadia Rd Ste 405",
            "city": "Thibodaux",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703014897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fallon Rodrigue
• Genevieve Rodrigue
• Jennifer D Rodrigue, PNP
• Leah Rodrigue, MS
• Morgan Rodrigue
• Tricia Rodrigue, SLP
• Stacey Gonzales Rogers, RN
• Becky Gunn Rohner, FNP
• Rooted Motion Physical Therapy, LLC
• Mary Roques, SLP

• Family Nurse Practitioner in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.