Active NPI
Megan Rodriguez, APRN
- Family Nurse Practitioner
- Port St Lucie, FL
National Provider Identifier
1992246649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9264204
- Practice address
- 1300 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2109 - Phone
- (772) 878-7078
- NPI assigned
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9264204 | FL | |
| Family Nurse Practitioner | 363LF0000X | 9264204 | FL | Primary |
Addresses
Primary practice location
1300 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2109
Mailing address
17316 62ND Rd N
Loxahatchee, FL 33470-3213
Phone (954) 914-4046
Other practice location 1
1490 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 967-5350
Other names 1
- Megan Robak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9264204 | FL | MD | Family Nurse Practitioner |
| ARNP9264204 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Multispecialty Group of Florida LLC | Past | Accepting new patients |
Interoperability endpoints
- megan.rodriguez.2@11933.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Surgery Physician
- Wellington, FL
- NPI 1346745122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1992246649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17316 62ND RD N",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334703213",
"telephone_number": "954-914-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SW SAINT LUCIE WEST BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862109",
"telephone_number": "772-878-7078"
}
],
"practiceLocations": [
{
"address_1": "1490 Forest Hill Blvd",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "33406",
"country_code": "US",
"telephone_number": "561-967-5350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MEGAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2020-10-25",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9264204",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9264204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "ROBAK",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.