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

Shannon Rose Rodriguez, PA

Individual provider Physician Assistant · NPI 1043796675

Shannon Rose Rodriguez, PA is a Physician Assistant in Temple Terrace, Florida. Qualified in 2018, 8 years ago. Practices with Cora Health Services Inc, a 1,144-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915
Phone: (813) 978-9700
Fax: (813) 558-6185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111385 (FL)

Record details

NPI number1043796675
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 17, 2018
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cora Health Services Inc — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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