Individual provider Active NPI

Christina Marie Rodriguez, MSN, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1487325254
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1025412 Issued in TX
Practice address
903 W Martin St
San Antonio, TX 78207-0903
Phone
(103) 585-4672
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1025412 TX Primary

Addresses

Primary practice location

903 W Martin St
San Antonio, TX 78207-0903

Mailing address

903 W Martin St
San Antonio, TX 78207-0903
Phone (103) 585-4672

Other practice location 1

8210 Callaghan Rd
San Antonio, TX 78230-4775
Phone (210) 233-7000

Other practice location 2

9150 Huebner Rd Ste 240
San Antonio, TX 78240-1334
Phone (210) 576-1436

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.stcpc.com/

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
I20220521000151 TX Practitioner - Nurse Practitioner 4385021807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

903 W Martin St
San Antonio, TX 78207-0903
Phone (210) 358-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1025412TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio CurrentSince May 15, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Pediatrics Current Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince May 15, 2024 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince May 12, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8210 Callaghan Rd
San Antonio, TX 78230

8435 Wurzbach Rd
Ste 305
San Antonio, TX 78229
Phone (210) 450-9800

8435 Wurzbach Rd
Ste 311
San Antonio, TX 78229

9150 Huebner Rd
Ste 240
San Antonio, TX 78240
Phone (210) 567-5555

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

Interoperability endpoints

  • Direct secure messaging: cwomack30865@direct.utmsa.com

Organizations & group practices 6

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1487325254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "103-585-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "103-585-4672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Callaghan Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782304775",
            "country_code": "US",
            "telephone_number": "210-233-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9150 Huebner Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401334",
            "country_code": "US",
            "telephone_number": "210-576-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1025412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.stcpc.com/",
            "affiliation": "N",
            "endpointDescription": "Website URL",
            "address_1": "9150 Huebner Rd Ste 240",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782401334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.