Active NPI
Sandra Elizabeth Rodriguez
- Family Nurse Practitioner
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1139921
- Practice address
- 2029 W Beauregard Ave
San Angelo, TX 76901-3812 - Phone
- (325) 658-5339
- NPI assigned
- Oct 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1139921 | TX | Primary |
Addresses
Primary practice location
2029 W Beauregard Ave
San Angelo, TX 76901-3812
Mailing address
3143 Pronghorn Path
San Angelo, TX 76901-1284
Phone (325) 374-6573
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1610 S Chadbourne St
San Angelo, TX 76903-8510
Phone (325) 658-5339
Hospital & facility affiliations
- Shannon Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1139921 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Esperanza Clinic Inc | Current | Accepting new patients | |
| La Esperanza Clinic, Inc. | Current | Accepting new patients |
Locations
1610 S Chadbourne St
San Angelo, TX 76903
Phone (325) 658-5339
2029 W Beauregard Ave
San Angelo, TX 76901
Phone (325) 658-5339
35 E 31st St
Ste 1
San Angelo, TX 76903
35 E 31st St
San Angelo, TX 76903
Phone (325) 658-5339
34 Buick St
San Angelo, TX 76901
Phone (325) 658-5339
Interoperability endpoints
- srodriguez53386@shannonhealth.direct-ci.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- San Angelo, TX
- NPI 1770584187
-
- Federally Qualified Health Center (FQHC)
- San Angelo, TX
- NPI 1487424602
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Angelo, TX
- NPI 1992707228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1992577142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 PRONGHORN PATH",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769011284",
"telephone_number": "325-374-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 W BEAUREGARD AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769013812",
"telephone_number": "325-658-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SANDRA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1139921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
- 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.