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

MS. Nathali Rodriguez, PA-C

Individual provider Physician Assistant · NPI 1679098701

MS. Nathali Rodriguez, PA-C is a Physician Assistant in Riverview, Florida. Qualified in 2017, 9 years ago. Practices with Academic Alliance in Dermatology Inc, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
9
Licensed in
FL, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6901 Simmons Loop Ste 207
Riverview, FL 33578-9498
Phone: (813) 868-3052
Fax: (813) 868-3046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4700 N Habana Ave Ste 303, Tampa, FL 33614-7118 — (813) 341-3285

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111406 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 021157 (NY)

Record details

NPI number1679098701
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2017
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Academic Alliance In Dermatology Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Riverview