Individual provider Active NPI

Patricia Ann Rodriguez, FNP

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1992013122
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0810189 Issued in AZ
Practice address
6489 E Crabtree PL
Yuma, AZ 85365-1115
Phone
(928) 318-9600
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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 F0810189 AZ Primary

Addresses

Primary practice location

6489 E Crabtree PL
Yuma, AZ 85365-1115

Mailing address

6489 E Crabtree PL
Yuma, AZ 85365-1115
Phone (928) 261-5696

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
I20110823000373 AZ Practitioner - Nurse Practitioner 3173793502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1950 E Juan Sanchez Blvd
Suite F
San Luis, AZ 85336-0478
Phone (928) 318-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0810189AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Rodriguez, FNP-C & Associates Family CurrentSince Mar 1, 2016 Accepting new patients
FSP Health Ministries Family Past Accepting new patients
Desert Sky Family Clinic of Yuma Family Past Accepting new patients
FSP Health Ministries Family Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1992013122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6489 E CRABTREE PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651115",
            "telephone_number": "928-261-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6489 E CRABTREE PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651115",
            "telephone_number": "928-318-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F0810189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.