Theresa Flint Rodgers, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1-030991 Issued in AL

Practice address

1600 7TH Ave South
Ambulatory Care Center, Suite 620
Birmingham, AL 35233

Phone

(205) 939-6270

Fax

(205) 975-5983

NPI assigned

Apr 18, 2012

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1619234432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 CORNELL DR",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102932",
            "telephone_number": "205-956-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE SOUTH",
            "address_2": "AMBULATORY CARE CENTER, SUITE 620",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-939-6270",
            "fax_number": "205-975-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "THERESA",
        "middle_name": "FLINT",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-030991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Rodgers, LPC
• Grayson K Rodgers, M.D.
• Mackenzie Dreher Rodgers, M.D.
• Mary Rodgers, MD
• Melinda Gayle Rodgers, CRNP
• Yolanda Rodgers
• Kanini Rodney
• Karen Mavis Rodrigues, BDS
• Leslie N. Rodrigues, PH.D.
• Prerana Ruth Rodrigues, MD, MPH

• Pediatric Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.