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

Gloria A Rodriguez, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1114565835

Gloria A Rodriguez, AGNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

11155 Dunn Rd Ste 109N
Saint Louis, MO 63136-6148
Phone: (314) 953-8799
Fax: (314) 953-8798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2019020198 (MO)

Record details

NPI number1114565835
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedDecember 12, 2019
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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