Individual provider Active NPI

Maria Lourdes Martirez Rodriguez, NNP/APRN

  • Neonatal Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1578503140
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
APN000967 Issued in NV
Practice address
Spectrum Healthcare Resources
6760 Corporate Drive Suite 220
Colorado Springs, CO 80919
Phone
(800) 288-8044
Fax
(719) 598-7945
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 5977278-8900 UT
Neonatal Nurse Practitioner 363LN0000X APN000967 NV Primary

Addresses

Primary practice location

Spectrum Healthcare Resources
6760 Corporate Drive Suite 220
Colorado Springs, CO 80919

Mailing address

1140 East Fort Pierce 12
Spectrum Healthcare Resources
St. George, UT 84790
Phone (436) 668-4854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20241017003570 ND Practitioner - Nurse Practitioner 0648448563 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000967NVMDNeonatal Nurse Practitioner
5977278-8900UTMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Oct 11, 2024 Accepting new patients
St. Alexius Medical Center CurrentSince Oct 11, 2024 Accepting new patients
Pokroy Medical Group of Nevada, LTD. Neonatal Past Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Organizations & group practices 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1578503140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 EAST FORT PIERCE 12",
            "address_2": "SPECTRUM HEALTHCARE RESOURCES",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "436-668-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPECTRUM HEALTHCARE RESOURCES",
            "address_2": "6760 CORPORATE DRIVE SUITE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80919",
            "telephone_number": "800-288-8044",
            "fax_number": "719-598-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA LOURDES",
        "middle_name": "MARTIREZ",
        "name_prefix": "Mrs.",
        "credential": "NNP/APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "UT",
            "license": "5977278-8900",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NV",
            "license": "APN000967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.