Individual provider Active NPI

Tamara Hernandez Rodriguez, APRN

  • Primary Care Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1740142264
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11044002 Issued in FL
Practice address
584 NW University Blvd Ste 200
Port Saint Lucie, FL 34986-2266
Phone
(772) 251-0022
Fax
(772) 251-0021
NPI assigned
Dec 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11044002 FL Primary

Addresses

Primary practice location

584 NW University Blvd Ste 200
Port Saint Lucie, FL 34986-2266

Mailing address

580 NW University Blvd
Port Saint Lucie, FL 34986-2221
Phone (954) 697-9292

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

LicenseStateTypeSpecialty
11044002FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Navarro Medical Centers LLC Past Accepting new patients

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": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1740142264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NW UNIVERSITY BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862221",
            "telephone_number": "954-697-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 NW UNIVERSITY BLVD STE 200",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862266",
            "telephone_number": "772-251-0022",
            "fax_number": "772-251-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ RODRIGUEZ",
        "first_name": "TAMARA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11044002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.