Active NPI
Julie Suzanne Rodriguez, APRN, FNP
- Family Medicine Physician
- Midland, TX
National Provider Identifier
1669073599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1018579
- Practice address
- 421 W Wadley Ave Ste B
Midland, TX 79705-5368 - Phone
- (432) 644-4327
- Fax
- (432) 684-4341
- NPI assigned
- Nov 6, 2020
- Last updated
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1018579 | TX | Primary |
Addresses
Primary practice location
421 W Wadley Ave Ste B
Midland, TX 79705-5368
Mailing address
PO Box 9902
Midland, TX 79708-9902
Phone (432) 934-8509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018579 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1669073599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9902",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797089902",
"telephone_number": "432-934-8509",
"fax_number": "432-684-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W WADLEY AVE STE B",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797055368",
"telephone_number": "432-644-4327",
"fax_number": "432-684-4341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JULIE",
"middle_name": "SUZANNE",
"credential": "APRN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "1018579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.