Individual provider Active NPI

Mirtha Noemi Rodriguez, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1639613375
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9236188 Issued in FL
Practice address
19654 Lansdowne St
Orlando, FL 32833-3716
Phone
(407) 496-8847
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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 9236188 FL Primary

Addresses

Primary practice location

19654 Lansdowne St
Orlando, FL 32833-3716

Mailing address

19654 Lansdowne St
Orlando, FL 32833-3716
Phone (407) 496-8847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9236188FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osceola Infectious Disease Consultancy Services, PLLC CurrentSince May 28, 2023 Accepting new patients
Florida Infectious Disease Consultants P.a Past Accepting new patients

Locations

1182 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 350-5917

Organizations & group practices 2

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1639613375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19654 LANSDOWNE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328333716",
            "telephone_number": "407-496-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19654 LANSDOWNE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328333716",
            "telephone_number": "407-496-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MIRTHA",
        "middle_name": "NOEMI",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9236188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.