Individual provider Active NPI

Adriana Rodriguez

  • Family Nurse Practitioner
  • North Palm Beach, FL
National Provider Identifier
1821614819
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007529 Issued in FL
Practice address
840 US Highway 1 Ste 120
North Palm Beach, FL 33408-3858
Phone
(561) 776-8300
Fax
(561) 776-0727
NPI assigned
Jun 25, 2020
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11007529 FL Primary

Addresses

Primary practice location

840 US Highway 1 Ste 120
North Palm Beach, FL 33408-3858

Mailing address

2812 Bellarosa Cir
Royal Palm Beach, FL 33411-1461
Phone (954) 778-2119

Other practice location 1

2330 S Congress Ave
West Palm Beach, FL 33406-7608
Phone (561) 432-5849

Other practice location 2

2812 Bellarosa Cir
Royal Palm Beach, FL 33411-1461
Phone (954) 778-2119

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
I20210311000161 FL Practitioner - Nurse Practitioner 3375959646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Foundcare IncGroup PAC ID 7911043542, 19 clinicians

Practice addresses (Care Compare)

840 US Hwy 1
Suite 120
North Palm Beach, FL 33408-3858
Phone (561) 776-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007529FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundcare Inc CurrentSince Mar 9, 2021 Accepting new patients
Foundcare, Inc Current Accepting new patients
Foundcare, Inc CurrentSince Mar 9, 2021 Accepting new patients
Foundcare, Inc. Past Accepting new patients

Locations

840 US Highway 1
Ste 120
North Palm Beach, FL 33408
Phone (561) 776-7300

2330 S Congress Ave
West Palm Beach, FL 33406
Phone (561) 432-5849

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1821614819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 BELLAROSA CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111461",
            "telephone_number": "954-778-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1 STE 120",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083858",
            "telephone_number": "561-776-8300",
            "fax_number": "561-776-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334067608",
            "country_code": "US",
            "telephone_number": "561-432-5849",
            "fax_number": "561-432-9732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2812 Bellarosa Cir",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334111461",
            "country_code": "US",
            "telephone_number": "954-778-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ADRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.