Individual provider Active NPI

Stephanie Marie Rodriguez, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1770134751
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143167 Issued in TX
Practice address
7121 Spid Dr Ste 104
Corpus Christi, TX 78412-4939
Phone
(361) 584-0044
Fax
(833) 464-1725
NPI assigned
Sep 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 766237 TX
Family Nurse Practitioner 363LF0000X AP143167 TX Primary

Addresses

Primary practice location

7121 Spid Dr Ste 104
Corpus Christi, TX 78412-4939

Mailing address

5101 Cape Romain Dr
Corpus Christi, TX 78412-2641
Phone (361) 779-1474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191121000028 TX Practitioner - Nurse Practitioner 6406288927 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
766237TXMDRegistered Nurse
AP143167TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince May 1, 2021 Accepting new patients
QC Professional PLLC CurrentSince Sep 17, 2022 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Dec 23, 2022 Accepting new patients
QC Urgent Care PLLC CurrentSince Jul 12, 2023 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Dec 23, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 1, 2021 Accepting new patients
Thomas-Spann Clinic, P.a. Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Locations

6110 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 584-0044

7629 S Staples St
Ste 106A
Corpus Christi, TX 78413
Phone (361) 238-0015

7121 Spid Dr
Ste 300
Corpus Christi, TX 78412
Phone (361) 696-6200

7121 Spid Dr
Ste 104
Corpus Christi, TX 78412
Phone (361) 271-5221

1290 FM 43
Ste J
Corpus Christi, TX 78415
Phone (361) 238-0015

7629 S Staples St
Unit 106A
Corpus Christi, TX 78413
Phone (361) 888-2820

7629 S Staples St
#106A
Corpus Christi, TX 78413

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: srodriguez269753@christushealth.direct-ci.net
  • Direct secure messaging: stephanie.rodriquez.1@8042.direct.athenahealth.com

Organizations & group practices 9

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": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1770134751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 CAPE ROMAIN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122641",
            "telephone_number": "361-779-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 SPID DR STE 104",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124939",
            "telephone_number": "361-584-0044",
            "fax_number": "833-464-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-22",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "766237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.