Nathali Rodriguez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111406 Issued in FL

Practice address

6901 Simmons Loop Ste 207
Riverview, FL 33578-9498

Phone

(813) 868-3052

Fax

(813) 868-3046

NPI assigned

Aug 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: nrodriguez@directaddress.net
• Direct secure messaging: nrodriguez@aadermaffiliates.emadirect.md

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.

• Academic Alliance in Dermatology, Inc

  • Dermatology Physician
  • Tampa, FL
  • NPI 1538119722
  Medicare reassignment Care Compare group
• Academic Alliance in Dermatology, Inc

  • Dermatology Physician
  • Valrico, FL
  • NPI 1841867868
  NPD (past)
• Pediatric Neurology Center

  • Neurology with Special Qualifications in Child Neurology Physician
  • Lakeland, FL
  • NPI 1477539807
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1679098701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SIMMONS LOOP STE 207",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335789498",
            "telephone_number": "813-868-3052",
            "fax_number": "813-868-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 N Habana Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147118",
            "country_code": "US",
            "telephone_number": "813-341-3285",
            "fax_number": "813-341-3284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NATHALI",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021157",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101600600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eveline Rose Rodriguez, ARNP
• Heidimar Rodriguez, CPT
• Lauri Jean Rodriguez, RPH
• Molly Rodriguez
• Nancy Rodriguez, PT
• Vanessa Rodriguez
• Chantal Cielo Rogenski
• Estefania Roger-Barreto, MD
• Linda Rogers, PH.D.
• Tramia Rogers

• Physician Assistant in Riverview, FL
• Providers in Riverview, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.

Verify at the official NPI Registry.