LAURA L RODRIGUEZ FNP-C NPI 1821406067

NPI Information

NPI: 1821406067
Provider Name: LAURA L RODRIGUEZ, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7601 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-8686
Get Directions

Laura L Rodriguez, FNP-C is a family nurse practitioner in Fort Wayne, IN with 10 years of experience. Laura L Rodriguez, FNP-C NPI is 1821406067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7601 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-133
Phone: (260) 436-8686
Fax: (260) 436-8585

The NPI 1821406067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 11/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP5741	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	71006059A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000990752	OTHER	INDIANA	ANTHEM
2	201343770	MEDICAID	INDIANA
3	132560026	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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