Organization Active NPI

Patricia Rodriguez, FNP-C & Associates

  • Family Nurse Practitioner
  • San Luis, AZ
National Provider Identifier
1992160329
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN075667 Issued in AZ
Legal business name
PATRICIA RODRIGUEZ, FNP-C & ASSOCIATES
Practice address
1950 Juan Sanchez Blvd
Suite F
San Luis, AZ 85349-6805
Phone
(928) 550-5641
Fax
(928) 550-5643
NPI assigned
Dec 30, 2015
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Patricia Ann Rodriguez, FNP-CNPI 1992013122
Title
Owner
Phone
(928) 318-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN075667 AZ Primary

Addresses

Primary practice location

1950 Juan Sanchez Blvd
Suite F
San Luis, AZ 85349-6805

Mailing address

PO Box 26253
Yuma, AZ 85367-1357
Phone (928) 919-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160315001122 AZ Part B Supplier - Clinic/Group Practice 7517263718 Receives reassigned benefits from 1 practitioner
Practice locations: San Luis, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2106174Patricia Rodriguez, FNP-C & Associates, PLLC1950 E Juan Sanchez Blvd, Ste F, San Luis, AZ 85349Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1992160329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26253",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853671357",
            "telephone_number": "928-919-9729",
            "fax_number": "928-329-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 JUAN SANCHEZ BLVD",
            "address_2": "SUITE F",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853496805",
            "telephone_number": "928-550-5641",
            "fax_number": "928-550-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA RODRIGUEZ, FNP-C & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-318-9600",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN075667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.