Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Rodriguez

Individual provider Gerontology Nurse Practitioner · NPI 1053810127

Cody Rodriguez is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2017, 9 years ago. Practices with David Maldonado III MD PA, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6551 Harris Pkwy Ste 250
Fort Worth, TX 76132-6115
Phone: (817) 263-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 805416 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 805416 (TX)

Record details

NPI number1053810127
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 5, 2018
Last updated in NPPESApril 9, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice David Maldonado Iii Md Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Worth