Individual provider Active NPI

Rosa Alicia Rendon, RN, FNP-BC

  • Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1659672194
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP119125 Issued in TX
Practice address
904 Corpus Christi St
Laredo, TX 78040-5277
Phone
(956) 725-0300
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 697870 TX
Nurse Practitioner 363L00000X AP119125 TX Primary

Addresses

Primary practice location

904 Corpus Christi St
Laredo, TX 78040-5277

Mailing address

904 Corpus Christi St
Laredo, TX 78040-5277
Phone (956) 725-0300

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
I20160208001988 TX Practitioner - Nurse Practitioner 6901109727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1105 Corpus Christi St
Laredo, TX 78040-5258
Phone (956) 441-1555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP119125TXMDNurse Practitioner
697870TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Familia Health Clinic PLLC Family CurrentSince Jan 16, 2022 Accepting new patients

Locations

1105 Corpus Christi St
Laredo, TX 78040
Phone (956) 441-1555

Interoperability endpoints

  • Direct secure messaging: mcardenas@lmec.ssdirect.aprima.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1659672194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405277",
            "telephone_number": "956-725-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405277",
            "telephone_number": "956-725-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDON",
        "first_name": "ROSA",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "697870",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP119125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.