Individual provider Active NPI

Lisandra Rodriguez, APRN

  • Acute Care Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1760221162
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11031870 Issued in FL
Practice address
7900 SW 57TH Ave Ste 21
South Miami, FL 33143-5546
Phone
(305) 662-3984
Fax
(305) 665-7239
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11031870 FL Primary

Addresses

Primary practice location

7900 SW 57TH Ave Ste 21
South Miami, FL 33143-5546

Mailing address

7900 SW 57TH Ave Ste 21
South Miami, FL 33143-5546
Phone (305) 662-3984

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
I20241022001646 FL Practitioner - Nurse Practitioner 9638601164 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
Miami Kidney Group PLLCGroup PAC ID 4385725746, 13 clinicians

Practice addresses (Care Compare)

7900 SW 57TH Ave
Suite 21
South Miami, FL 33143-5546
Phone (305) 662-3984

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Kidney Group PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

99 NE 8th St
Homestead, FL 33030
Phone (305) 245-0241

7900 SW 57th Ave
Ste 21
South Miami, FL 33143
Phone (305) 662-3984

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24546/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lisandra.rodriguez.1@24546.direct.athenahealth.com
  • Direct secure messaging: lrodriguez75200@direct.acumenmd.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1760221162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 SW 57TH AVE STE 21",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435546",
            "telephone_number": "305-662-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SW 57TH AVE STE 21",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435546",
            "telephone_number": "305-662-3984",
            "fax_number": "305-665-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LISANDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11031870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.