TRACI RODRIGUEZ (NPI# 1659301471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659301471 |
| Entity Type | Individual |
| Full Name | TRACI RODRIGUEZ |
| Other Name | TRACI GARCIA |
| Credential | FNP |
| Practice Address |
1902 50th St Lubbock TX 79412-2706 |
| Mailing Address |
Po Box 54136 Lubbock TX 79453-4136 |
| Practice Telephone | 8067711386 |
| Practice Fax Number | 8067711388 |
| Mailing Telephone | 8067711386 |
| Mailing Fax Number | 8067711388 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 577500 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 141133204 | 05 | |
| TX | 141133203 | 05 | |
| TX | 124233109 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8Y0236 | 01 |
| TX | RR MEDICARE | P00317552 | 01 |
| TX | RR MEDICARE | P00216190 | 01 |
| TX | RR MEDICARE | P00090182 | 01 |
| Street Address |
1902 50TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79412-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356737472 | Afhcph (1) Lp | General Practice | 1902 50th St, Lubbock, TX 79412-2706 | 2015-04-15 |
| 1003097155 | Gay Ann Tibbets | Nurse Practitioner | 1902 50th St, Lubbock, TX 79412-2706 | 2007-11-16 |
| 1033282629 | Juan Carlos De La Cerda | Technician, Other | 1902 50th St, Lubbock, TX 79412-2706 | 2006-11-15 |
| 1326079021 | Enrique Rodriguez | Internal Medicine | 1902 50th St, Lubbock, TX 79412-2706 | 2006-07-05 |
| 1467482182 | Enrique Rodriguez, M.d., P.a. | Nurse Practitioner | 1902 50th St, Lubbock, TX 79412-2706 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| 1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
| 1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
| 1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
| 1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
| Find all providers in zip 79412 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027989 | Stephanie S Brown | Nurse Practitioner | 4511 University Ave Ste B, Lubbock, TX 79413-3725 | 2020-03-09 |
| 1164067393 | Geriatric Telemedicine and Oncall Consultants LLC. | Nurse Practitioner | 222 Genoa Ave, Lubbock, TX 79416-1708 | 2019-11-12 |
| 1033674932 | Kimberly Melcher | Nurse Practitioner | 3601 4th Ortho, Lubbock, TX 79430-0001 | 2019-02-05 |
| 1770020703 | Patrick Joe Ochoa | Nurse Practitioner | 2129 57th St, Lubbock, TX 79412-2625 | 2017-01-29 |
| 1770909665 | Jennifer Skero | Nurse Practitioner | 10208 Quaker Ave, Lubbock, TX 79424-8394 | 2014-03-15 |
| 1346547627 | Shirley Ann Mcreynolds | Nurse Practitioner | 6034 68th St, Lubbock, TX 79424-2933 | 2011-02-22 |
| 1356385504 | Warden Lamar Palmer | Nurse Practitioner | 1802 E 50th St, Suite 104, Lubbock, TX 79404 | 2006-06-16 |
| 1063478527 | Kimberly Billingsley | Nurse Practitioner | 3502 9th St Ste 110, Lubbock, TX 79415-3367 | 2006-04-25 |
| 1053377531 | Melinda Chavez | Nurse Practitioner | 4321 Marsha Sharp Freeway, Door #1, Lubbock, TX 79407-2504 | 2006-04-25 |
| 1114982030 | Rebecca Fant | Nurse Practitioner | 6002 Slide Rd # D24, Lubbock, TX 79414 | 2006-04-20 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.