Individual provider Active NPI

Idania Rodriguez, APRNCB

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1902449994
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10190230 Issued in FL
Practice address
551 W 51St PL FL 2
Hialeah, FL 33012-3601
Phone
(305) 817-6560
Fax
(786) 209-2080
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 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 PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X F10190230 FL Primary

Addresses

Primary practice location

551 W 51St PL FL 2
Hialeah, FL 33012-3601

Mailing address

551 W 51St PL FL 2
Hialeah, FL 33012-3601
Phone (305) 817-6560

Other identifiers 1

IdentifierTypeStateIssuer
3668OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address idaniat@citrushealth.com

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
I20221114003226 FL Practitioner - Nurse Practitioner 4688042195 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10190230FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network, Inc. CurrentSince Jul 12, 2022 Accepting new patients
Citrus Health Network Inc Single Specialty Current Accepting new patients
Citrus Health Network, Inc. CurrentSince Jul 12, 2022 Accepting new patients
Citrus Health Network Inc Past Accepting new patients
Citrus Health Network Inc Past Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

551 W 51st Pl
Fl 2
Hialeah, FL 33012
Phone (305) 817-6560

Organizations & group practices 5

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1902449994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 W 51ST PL FL 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123601",
            "telephone_number": "305-817-6560",
            "fax_number": "786-209-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W 51ST PL FL 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123601",
            "telephone_number": "305-817-6560",
            "fax_number": "786-209-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "IDANIA",
        "credential": "APRNCB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10190230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "3668",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "idaniat@citrushealth.com",
            "affiliation": "N",
            "address_1": "551 W 51st Pl Fl 2",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330123601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.