Lydia Rodriguez, WHNP - Nurse Practitioner in Mountain Home Afb, ID

Lydia Rodriguez, WHNP is a Nurse Practitioner - Women's Health based in Mountain Home Afb, Idaho. Lydia Rodriguez is licensed to practice in Utah (license number 9873492-4405) and her current practice location is 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 828-7111.

NPI number for Lydia Rodriguez is 1790149961 and her current mailing address is 90 Hope Drve, Bldg 6000, Mountain Home, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790149961.

Contact Information

Lydia Rodriguez, WHNP
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
(208) 828-7111
Not Available



Provider's Profile

Full NameLydia Rodriguez
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790149961
  • Provider Enumeration Date: 04/13/2016
  • Last Update Date: 10/21/2022

Medical Identifiers

Medical identifiers for Lydia Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790149961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WX0003XRegistered Nurse - Obstetric, Inpatient 28164518A (Indiana)Secondary
363LW0102XNurse Practitioner - Women's Health 9873492-4405 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lydia Rodriguez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lydia Rodriguez, WHNP
90 Hope Drve, Bldg 6000,
Mountain Home, ID 83648

Ph: (208) 828-7111
Lydia Rodriguez, WHNP
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062

Ph: (208) 828-7111

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› Verified 7 days ago


Nurse Practitioner Nurses in Mountain Home Afb, ID

Daniel Robert Burke, RN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648
Phone: 208-828-7281    
Kristin Kepler, RN, DNP, WHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7572    
Kristine Marie Hackett, WHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 90 Hope Dr, 366th Mdg/surgical Operations Squadron, Mountain Home Afb, ID 83648
Phone: 208-828-7534    
Linda J Hensley, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7655    
Mary Ellen Clark, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7635    

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