Individual provider Active NPI

Patricia Shea Rodriguez, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1801385281
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137061 Issued in TX
Practice address
4303 Victory Dr
Austin, TX 78704-7507
Phone
(512) 462-3627
Fax
(512) 462-2898
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP137061 TX Primary

Addresses

Primary practice location

4303 Victory Dr
Austin, TX 78704-7507

Mailing address

4303 Victory Dr
Austin, TX 78704-7507
Phone (512) 462-3627

Other practice location 1

3811 Bee Caves Rd
West Lake Hills, TX 78746-5383
Phone (512) 462-3627

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
I20180716001128 TX Practitioner - Nurse Practitioner 4880941319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

12005 Bee Caves Rd
V
Austin, TX 78738-6385
Phone (512) 225-0766

4303 Victory Dr
Austin, TX 78704-7507
Phone (512) 462-3627

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Nov 13, 2022 Accepting new patients
Privia Medical Group Gulf Coast, PLLC Single Specialty CurrentSince Nov 13, 2022 Accepting new patients
Community Radiology Associates P a Single Specialty Past Accepting new patients

Locations

4303 Victory Dr
Austin, TX 78704

351 Cypress Creek Rd
Ste 100
Cedar Park, TX 78613
Phone (512) 258-5533

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

3811 Bee Caves Rd
Ste 101
West Lake Hills, TX 78746
Phone (512) 443-3500

Interoperability endpoints

  • Direct secure messaging: patricia.rodriguez.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1801385281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 VICTORY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047507",
            "telephone_number": "512-462-3627",
            "fax_number": "512-462-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 VICTORY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047507",
            "telephone_number": "512-462-3627",
            "fax_number": "512-462-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 Bee Caves Rd",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465383",
            "country_code": "US",
            "telephone_number": "512-462-3627",
            "fax_number": "512-462-2898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PATRICIA",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.