Individual provider Active NPI

Vanessa Rodriguez, NURSE PRACTITIONER

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1992523393
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1177068 Issued in TX
Practice address
10765 Kenworthy St Ste a
El Paso, TX 79924-1748
Phone
(915) 320-4021
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1177068 TX Primary

Addresses

Primary practice location

10765 Kenworthy St Ste a
El Paso, TX 79924-1748

Mailing address

13825 Summer Story Ave
El Paso, TX 79928-2384
Phone (915) 258-4295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241105003852 TX Practitioner - Nurse Practitioner 0042744609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Carenow Urgent Care, PLLCGroup PAC ID 2961742168, 24 clinicians

Practice addresses (Care Compare)

10765 Kenworthy St
Suite a
El Paso, TX 79924-1748
Phone (915) 320-4021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Carenow Urgent Care, PLLC CurrentSince Nov 14, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10765 Kenworthy St
Ste A
El Paso, TX 79924
Phone (915) 308-2060

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.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1992523393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13825 SUMMER STORY AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799282384",
            "telephone_number": "915-258-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10765 KENWORTHY ST STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241748",
            "telephone_number": "915-320-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VANESSA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1177068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.