Individual provider Active NPI

Karen Rodriguez, FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1710741004
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030261 Issued in FL
Practice address
390 NE 135TH St
Miami, FL 33161-3967
Phone
(305) 895-4804
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11030261 FL Primary

Addresses

Primary practice location

390 NE 135TH St
Miami, FL 33161-3967

Mailing address

2325 NW 89TH St
Miami, FL 33147-3841
Phone (954) 554-4352

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240606000491 FL Practitioner - Nurse Practitioner 6608318647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services - Wound Care Division LLCGroup PAC ID 6709280324, 35 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030261FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Wound Care Division LLC CurrentSince Apr 10, 2024 Accepting new patients

Locations

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1710741004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 NW 89TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331473841",
            "telephone_number": "954-554-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE 135TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331613967",
            "telephone_number": "305-895-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KAREN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.