Individual provider Active NPI

Gabrielle Alyssa Rodriguez, MSN, AGACNP-BC, BSN,

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1649031816
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1141107 Issued in TX
Practice address
8115 Datapoint Dr Ste 200
San Antonio, TX 78229-3745
Phone
(210) 614-7900
Fax
(210) 615-1211
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1141107 TX Primary

Addresses

Primary practice location

8115 Datapoint Dr Ste 200
San Antonio, TX 78229-3745

Mailing address

215 N San Saba Ste 301
San Antonio, TX 78207-3164
Phone (210) 212-8622

Other names 1

  • Gabrielle Alyssa Borboa Former name

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
I20240312002382 TX Practitioner - Nurse Practitioner 8426494550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Reza Mizani MD PAGroup PAC ID 5294709689, 28 clinicians

Practice addresses (Care Compare)

8115 Datapoint Dr
Suite 200
San Antonio, TX 78229-3745
Phone (210) 614-7900

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1141107TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M. Reza Mizani, M.D., P.a. CurrentSince Jan 30, 2024 Accepting new patients
M. Reza Mizani, M.D., P.a. CurrentSince Jan 30, 2024 Accepting new patients
M. Reza Mizani, M.D., P.a. Past Accepting new patients

Locations

205 22nd St
Hondo, TX 78861
Phone (830) 426-2753

215 N San Saba
Ste 301
San Antonio, TX 78207
Phone (210) 212-8984

215 N San Saba
Ste 310
San Antonio, TX 78207

343 W Houston St
Ste 609
San Antonio, TX 78205
Phone (210) 212-4595

8115 Datapoint Dr
Ste 200
San Antonio, TX 78229

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1649031816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N SAN SABA STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073164",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 DATAPOINT DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293745",
            "telephone_number": "210-614-7900",
            "fax_number": "210-615-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GABRIELLE",
        "middle_name": "ALYSSA",
        "credential": "MSN, AGACNP-BC, BSN,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1141107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "BORBOA",
            "middle_name": "ALYSSA",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.