Individual provider Active NPI

Carla Mardene Rodriguez, NNP-BC

  • Neonatal Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1871811083
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
AP3648 Issued in AZ
Practice address
1501 N Campbell Avenue
Tucson, AZ 85724
Phone
(520) 626-6627
Fax
(520) 626-5009
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X AP3648 AZ Primary

Addresses

Primary practice location

1501 N Campbell Avenue
Tucson, AZ 85724

Mailing address

2701 E Elvira Rd
Tucson, AZ 85756-7214
Phone (520) 626-6627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100927001124 AZ Practitioner - Nurse Practitioner 2062538002 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP3648AZMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Mar 1, 2026 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1871811083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E ELVIRA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857567214",
            "telephone_number": "520-626-6627",
            "fax_number": "520-626-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVENUE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85724",
            "telephone_number": "520-626-6627",
            "fax_number": "520-626-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARLA",
        "middle_name": "MARDENE",
        "name_prefix": "Ms.",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AZ",
            "license": "AP3648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.