MEDICARE: MRS. MEAGHEN TOMPKINS RODRIGUEZ MSN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	3015930	KY
2	363LF0000X	Family Nurse Practitioner	F03210349	KY

General Provider Information

NPI Number	:	1437739166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEAGHEN TOMPKINS RODRIGUEZ MSN APRN

Provider Business Mailing Address
First Line	:	4117 BROWNS LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1535
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4117 BROWNS LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1535
Country	:	US
Telephone Number	:	502-364-2770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	01/21/2026

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