Active NPI
Jeanette Rodriguez
- Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1142892
- Practice address
- 20403 Encino Ledge Unit 592022
San Antonio, TX 78259-0843 - Phone
- (210) 901-8841
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1142892 | TX | Primary |
Addresses
Primary practice location
20403 Encino Ledge Unit 592022
San Antonio, TX 78259-0843
Mailing address
20403 Encino Ledge Unit 592022
San Antonio, TX 78259-0843
Phone (210) 901-8841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
180 Low St
Newburyport, MA 01950-3519
Phone (203) 497-3861
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Health P.C. | Nurse Practitioner | Current | Accepting new patients |
| Infinite Medical PC | Nurse Practitioner | Current | Accepting new patients |
Locations
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
111 Headwaters Dr
Harwich, MA 02645
Phone (508) 430-1717
180 Low St
Newburyport, MA 01950
Phone (978) 465-5361
250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173
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": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708128000000",
"number": "1669248498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20403 ENCINO LEDGE UNIT 592022",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782590843",
"telephone_number": "210-901-8841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20403 ENCINO LEDGE UNIT 592022",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782590843",
"telephone_number": "210-901-8841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JEANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2024-02-17",
"certification_date": "2024-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1142892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; 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.