Individual provider Active NPI

Hannah M Rodrigues, PA-C

  • Physician Assistant
  • Issaquah, WA
National Provider Identifier
1104595677
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61362609 Issued in WA
Practice address
751 NE Blakely Dr Ste 2030
Issaquah, WA 98029-6201
Phone
(425) 313-7080
Fax
(425) 313-7071
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 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 PA61362609 WA Primary

Addresses

Primary practice location

751 NE Blakely Dr Ste 2030
Issaquah, WA 98029-6201

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
2233096MedicaidWA

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
I20230710002857 WA Practitioner - Physician Assistant 4789043621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

751 NE Blakely Dr
Issaquah, WA 98029-6201

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services CurrentSince May 22, 2023 Accepting new patients
Peninsula Community Health Services CurrentSince May 22, 2023 Accepting new patients
Peninsula Community Health Services Physician Assistant Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

300 E Campus Dr
Belfair, WA 98528
Phone (360) 277-2302

31 NE State Route 300
Ste 200
Belfair, WA 98528
Phone (360) 377-3779

2720 Clare Ave
Bremerton, WA 98310
Phone (360) 479-6154

5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031

2650 NE John Carlson Rd
Bremerton, WA 98311

8107 Central Valley Rd NE
Bremerton, WA 98311

616 6th St
Bremerton, WA 98337
Phone (360) 478-2366

2442 Perry Ave
Bremerton, WA 98310

11901 137th Ave NW
Unit A
Gig Harbor, WA 98329
Phone (253) 649-0696

25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844

26201 Siyaya Ave NE
Rm 121
Kingston, WA 98346

2150 Fircrest Dr SE
Rm G1
Port Orchard, WA 98366

320 S Kitsap Blvd
Port Orchard, WA 98366
Phone (360) 876-7215

19917 7th Ave NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-7636

627 W Franklin St
Shelton, WA 98584
Phone (360) 427-8940

3100 NW Bucklin Hill Rd
Ste 202
Silverdale, WA 98383
Phone (360) 377-3773

Interoperability endpoints

  • Direct secure messaging: hrodrigues3549202@wm.providencedirect.org

Organizations & group practices 6

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1104595677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR STE 2030",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "425-313-7080",
            "fax_number": "425-313-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "HANNAH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61362609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2233096",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.