Individual provider Active NPI

Ruby Jessica Rodriguez, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1841950672
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1044756 Issued in TX
Practice address
9406 Morley Lake Dr
Houston, TX 77095-7263
Phone
(619) 701-7829
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 1044756 TX Primary

Addresses

Primary practice location

9406 Morley Lake Dr
Houston, TX 77095-7263

Mailing address

9406 Morley Lake Dr # 940
Houston, TX 77095-7263
Phone (619) 701-7829

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
I20240326002767 TX Practitioner - Nurse Practitioner 0244677219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GMG Health Systems Associates PAGroup PAC ID 8123932647, 115 clinicians

Practice addresses (Care Compare)

1130 Goliad Rd
Gonzaba Medical Group
San Antonio, TX 78223-1846
Phone (210) 921-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1044756TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GMG Health Systems Associates PA CurrentSince Apr 1, 2024 Accepting new patients

Locations

720 Pleasanton Rd
San Antonio, TX 78214

1303 McCullough Ave
Ste 170
San Antonio, TX 78212
Phone (210) 223-8727

3520 S New Braunfels Ave
Ste 106A
San Antonio, TX 78223

1130 Goliad Rd
San Antonio, TX 78223

Organizations & group practices 1

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": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1841950672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 MORLEY LAKE DR # 940",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770957263",
            "telephone_number": "619-701-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 MORLEY LAKE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770957263",
            "telephone_number": "619-701-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RUBY",
        "middle_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1044756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.