Lisa Ann Rodriguez, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

669340 Issued in TX

Practice address

4018 Midvale Dr
San Antonio, TX 78229-4128

Phone

(210) 445-0353

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1467040667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 MIDVALE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294128",
            "telephone_number": "210-445-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 MIDVALE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294128",
            "telephone_number": "210-445-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TX",
            "license": "669340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenaida Rodriguez, MS, LMFT, LCDC
• Lenora Rodriguez
• Leticia P Rodriguez, LVN
• Linda Rodriguez
• Lisa Rodriguez, LVN
• Lorena Adriana Rodriguez
• Lorena Lee Rodriguez, NP
• Lourdes Rodriguez, P.T.
• Lucas Rodriguez
• Lucero Rodriguez

• Diabetes Educator Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Diabetes Educator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.