LYNN WITTE RODRIGUEZ RN/NP NPI 1558348235

NPI Information

  • NPI: 1558348235
  • Provider Name: LYNN WITTE RODRIGUEZ, RN/NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 262 DANNY THOMAS PL
    MEMPHIS, TN
    ZIP 38105
  • Phone: (888) 226-4343

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NPI Details

Lynn Witte Rodriguez, RN/NP is a pediatrics nurse practitioner in Memphis, TN. Lynn Witte Rodriguez, RN/NP NPI is 1558348235. 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:

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105-678
Phone: (888) 226-4343
Fax: (901) 595-3842

The NPI 1558348235 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 12/23/2005 and was last updated on 2/18/2020.

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
1363LP0200XNurse PractitionerPediatrics61528TENNESSEEYes

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
15440236MEDICAIDTENNESSEE
2154785758MEDICAIDARKANSAS

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: 11/21/2025

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