Active NPI
Lucia Rodrigues, FNP
- Primary Care Nurse Practitioner
- Coconut Creek, FL
National Provider Identifier
1780277350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 11011009
- Practice address
- 5300 W Hillsboro Blvd Ste 103
Coconut Creek, FL 33073-4395 - Phone
- (954) 614-4053
- NPI assigned
- Feb 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 11011009 | FL | Primary |
Addresses
Primary practice location
5300 W Hillsboro Blvd Ste 103
Coconut Creek, FL 33073-4395
Mailing address
10734 Shady Pond LN
Boca Raton, FL 33428-5764
Phone (954) 709-1918
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | luciarodrigues0208@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011009 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Wellness Center | Current | Accepting new patients | |
| Bethesda Health Physician Group, Inc. | Past | Accepting new patients |
Locations
5300 W Hillsboro Blvd
Ste 103
Coconut Creek, FL 33073
Phone (954) 570-4011
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Coconut Creek, FL
- NPI 1295431468
-
- General Practice Physician
- Boynton Beach, FL
- NPI 1699863936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1780277350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10734 SHADY POND LN",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334285764",
"telephone_number": "954-709-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 W HILLSBORO BLVD STE 103",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734395",
"telephone_number": "954-614-4053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "LUCIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-15",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "11011009",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "luciarodrigues0208@gmail.com",
"affiliation": "N",
"address_1": "12955 Palms West Dr Ste 208",
"city": "Loxahatchee",
"state": "FL",
"country_code": "US",
"postal_code": "334704993",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.