Individual provider Active NPI

Daniel Ivan Rodriguez, APRN, FNP-BC

  • Family Nurse Practitioner
  • Weslaco, TX
National Provider Identifier
1629510573
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132531 Issued in TX
Practice address
1001 James St
Weslaco, TX 78596-0008
Phone
(956) 647-8600
Fax
(956) 969-9564
NPI assigned
Nov 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 AP132531 TX Primary

Addresses

Primary practice location

1001 James St
Weslaco, TX 78596-0008

Mailing address

1001 James St
Weslaco, TX 78596-0008
Phone (956) 647-8600

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
I20171026002605 TX Practitioner - Nurse Practitioner 7214207521

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132531TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Medical Group PastSince Jan 25, 2014 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1629510573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JAMES ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785960008",
            "telephone_number": "956-647-8600",
            "fax_number": "956-969-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JAMES ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785960008",
            "telephone_number": "956-647-8600",
            "fax_number": "956-969-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DANIEL",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.