Debra K Rodriguez, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

18033 Issued in WI

Practice address

707 14TH St
Baraboo, WI 53913-1539

Phone

(608) 356-1400

NPI assigned

Dec 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drodriguez267217@direct-ehr-ssmhc.com

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.

• SSM Health Care of Wisconsin Inc

  • Certified Registered Nurse Anesthetist
  • Baraboo, WI
  • NPI 1336120401
  NPD (past)
• SSM Health Care of Wisconsin Inc

  • Registered Dietitian
  • Baraboo, WI
  • NPI 1467435214
  NPD (past)
• SSM Health Care of Wisconsin, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Baraboo, WI
  • NPI 1053392845
  NPD (past)
• SSM Health Treatment and Recovery Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baraboo, WI
  • NPI 1124094263
  NPD (past)
• SSM Healthcare of Wi Inc

  • Audiologist
  • Baraboo, WI
  • NPI 1316909781
  NPD (past)
• SSM Healthcare of Wi Inc

  • Clinical Medical Laboratory
  • Baraboo, WI
  • NPI 1346229697
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1679559249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 14TH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131539",
            "telephone_number": "608-356-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 14TH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131539",
            "telephone_number": "608-356-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DEBRA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "18033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANCARE PROV #",
            "identifier": "70",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43829200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "500010902",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYS PLUS PROV #",
            "identifier": "1009390",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM INS PROV #",
            "identifier": "391023846",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Wayne Ritzenthaler, OD
• Erin Robbins, MSE, LPC
• Anna B Roberts, LPC
• Ted Robinson-Myers, MD
• Layna M Robinson, PA-C
• Rhonda D Roll
• Angela Romportl
• Donna T. Rose, PH.D.
• Heidi M. Roth
• Jennifer L Roth, FNP-C

• All providers in Baraboo, WI
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.