Individual provider Active NPI

Christina Rodriguez, APRN

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1487294369
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP144512 Issued in TX
Practice address
903 SW 24TH St
San Antonio, TX 78207-5136
Phone
(210) 432-7801
Fax
(210) 432-7802
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP144512 TX Primary

Addresses

Primary practice location

903 SW 24TH St
San Antonio, TX 78207-5136

Mailing address

903 SW 24TH St
San Antonio, TX 78207-5136
Phone (210) 432-7801

Other practice location 1

2 Spurs Ln Ste 100
San Antonio, TX 78240-1760
Phone (210) 615-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201119000433 TX Practitioner - Nurse Practitioner 6507277704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spurs Lane Medical Associates PAGroup PAC ID 4587826268, 4 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 260
San Antonio, TX 78240-1671
Phone (210) 615-8003

Hospital & facility affiliations

  • Capitol Home Health Home health agency, San Antonio, TX, CCN 747928

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144512TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spurs Lane Medical Associates PA CurrentSince Feb 1, 2021 Accepting new patients

Locations

903 SW 24th St
San Antonio, TX 78207
Phone (210) 432-7801

21 Spurs Ln
Ste 260
San Antonio, TX 78240
Phone (210) 257-0705

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1487294369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SW 24TH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075136",
            "telephone_number": "210-432-7801",
            "fax_number": "210-432-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SW 24TH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075136",
            "telephone_number": "210-432-7801",
            "fax_number": "210-432-7802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Spurs Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401760",
            "country_code": "US",
            "telephone_number": "210-615-8003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2023-10-31",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP144512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.