Mildrey Rodriguez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

845655 Issued in NV

Practice address

2810 W Charleston Blvd Ste H77
Las Vegas, NV 89102-1921

Phone

(702) 377-6556

Fax

(702) 665-8651

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eterna Medical Group LLCGroup PAC ID 6002312691, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Eterna Medical Group LLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1669269924

  Family

  Medicare reassignment Care Compare group NPD
• Pineros LLC

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1386303014
  Medicare reassignment NPD

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1629580113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE H77",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021921",
            "telephone_number": "786-970-9384",
            "fax_number": "702-665-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE H77",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021921",
            "telephone_number": "702-377-6556",
            "fax_number": "702-665-8651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Bedford Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891074302",
            "country_code": "US",
            "telephone_number": "702-403-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 Alta Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891073940",
            "country_code": "US",
            "telephone_number": "702-403-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 S Valley View Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891020116",
            "country_code": "US",
            "telephone_number": "786-970-9384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 E Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195190",
            "country_code": "US",
            "telephone_number": "702-620-5105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9624 World Cup Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891170817",
            "country_code": "US",
            "telephone_number": "786-970-9384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MILDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "845655",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "845655",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1605708189",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA  STATE BOARD OF NURSING",
            "identifier": "845655",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercedes Rodriguez
• Mia Rodriguez
• Michael Rodriguez
• Michelle Rodriguez
• Milagros Rodriguez, NP
• Monica Areli Rodriguez
• Nancy Rodriguez
• Nancy Rodriguez
• Nancy Edith Rodriguez
• Nannette Rodriguez

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.