Individual provider Active NPI

Lucia Rodrigues, FNP

  • Primary Care Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1780277350
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11011009 Issued in FL
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

Updated by the provider on Jul 11, 2023

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
11011009FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Wellness Center Current Accepting new patients
Bethesda Health Physician Group, Inc. PastSince Oct 12, 2016 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.

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

Verify at the official NPI Registry.