Active NPI
Idania Rodriguez, APRNCB
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1902449994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10190230
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3668 | Other | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10190230 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citrus Health Network, Inc. | Current | Accepting new patients | |
| Citrus Health Network Inc | Single Specialty | Current | Accepting new patients |
| Citrus Health Network, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Hialeah, FL
- NPI 1821138819
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1396395075
-
- Federally Qualified Health Center (FQHC)
- Hialeah, FL
- NPI 1982062485
-
- Federally Qualified Health Center (FQHC)
- Hialeah, FL
- NPI 1275647752
-
- Federally Qualified Health Center (FQHC)
- Hialeah, FL
- NPI 1942506837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.