Individual provider Active NPI

Andrea Irene Rodriguez, FNP-C

  • Family Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1538822705
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1056681 Issued in TX
Practice address
479 Oxford Dr Ste 104
New Braunfels, TX 78130-5479
Phone
(830) 214-0300
NPI assigned
Oct 14, 2021
Last updated
Jan 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1056681 TX Primary

Addresses

Primary practice location

479 Oxford Dr Ste 104
New Braunfels, TX 78130-5479

Mailing address

479 Oxford Dr Ste 104
New Braunfels, TX 78130-5479
Phone (830) 214-0300

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
I20211116000584 TX Practitioner - Nurse Practitioner 2668861584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Heart and Vascular Clinic PAGroup PAC ID 5698194025, 13 clinicians

Practice addresses (Care Compare)

479 Oxford Dr
Suite 104
New Braunfels, TX 78130-7423
Phone (830) 214-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1056681TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Heart and Vascular Clinic PA CurrentSince Nov 4, 2021 Accepting new patients

Locations

2115 Stephens Pl
Ste 1330
New Braunfels, TX 78130
Phone (210) 545-3103

479 Oxford Dr
Ste 104
New Braunfels, TX 78130
Phone (830) 214-0300

1340 Wonder World Dr
Ste 4201
San Marcos, TX 78666
Phone (512) 268-8900

1340 Wonder World Dr
Ste 4202
San Marcos, TX 78666
Phone (512) 667-6816

Interoperability endpoints

  • Direct secure messaging: arodriguez285041@christushealth.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1538822705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OXFORD DR STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305479",
            "telephone_number": "830-214-0300",
            "fax_number": "830-214-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OXFORD DR STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305479",
            "telephone_number": "830-214-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANDREA",
        "middle_name": "IRENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1056681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.