Individual provider Active NPI

Amaya Rodriguez, PA-C

  • Physician Assistant
  • Wenatchee, WA
National Provider Identifier
1023519857
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61612806 Issued in WA
Practice address
600 Orondo Ave
Wenatchee, WA 98801-2800
Phone
(510) 965-3358
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61612806 WA Primary

Addresses

Primary practice location

600 Orondo Ave
Wenatchee, WA 98801-2800

Mailing address

600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other practice location 1

105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000

Other practice location 2

940 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000

Other practice location 3

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001

Other practice location 4

8815 S Tacoma Way Ste 122
Lakewood, WA 98499-7011
Phone (253) 682-0320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116000891 WA Practitioner - Physician Assistant 6305374406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Valley Community HealthGroup PAC ID 7113813874, 64 clinicians

Practice addresses (Care Compare)

600 Orondo Ave
Wenatchee, WA 98801-2800

900 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 884-9000

940 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 884-9000

980 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 662-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA61612806WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Valley Community Health CurrentSince Jan 21, 2025 Accepting new patients
Imagine Behavioral & Developmental Services Behavior Analyst Past Accepting new patients

Locations

105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000

940 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000

600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575

Interoperability endpoints

  • Direct secure messaging: amaya.rodriguez.1@10575.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1023519857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "510-965-3358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Apple Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "98816",
            "country_code": "US",
            "telephone_number": "509-682-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Eastmont Ave",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "98802",
            "country_code": "US",
            "telephone_number": "509-884-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4311 11th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981056367",
            "country_code": "US",
            "telephone_number": "206-616-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 S Tacoma Way Ste 122",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984997011",
            "country_code": "US",
            "telephone_number": "253-682-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AMAYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61612806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.