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

Lisa M Rodrigues, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1639454572

Lisa M Rodrigues, FNP-BC is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2010, 16 years ago. Practices with Victa LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
16
Licensed in
MA, RI
In the registry since
2011
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

110 Elmwood Ave
Providence, RI 02907-2423
Phone: (401) 300-5757
Fax: (401) 300-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN02224 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN214014 (MA)

Record details

NPI number1639454572
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESOctober 19, 2023
Certification dateJuly 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Victa Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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