Christie Joyce Podhora, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP30004111 Issued in WA

Practice address

800 NE 136TH Ave
Ste 220
Vancouver, WA 98684-6933

Phone

(360) 397-9554

Fax

(360) 952-9148

NPI assigned

Jan 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1316218779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NE 136TH AVE",
            "address_2": "STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846933",
            "telephone_number": "360-397-9554",
            "fax_number": "360-952-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 136TH AVE",
            "address_2": "STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846933",
            "telephone_number": "360-397-9554",
            "fax_number": "360-952-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODHORA",
        "first_name": "CHRISTIE",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "082011115N3",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30004111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Plymale
• PNW Aging Specialty Services, LLC
• PNW ENT
• PNW Medical Massage LLC
• Poa Pharma North America LLC
• Allonah Rose Podvin, RN
• Points of Origin, PLLC
• Dipesh Pokharel, MD
• David Edwin Poland, MSW
• Pavel Polehna, MD

• Adult Health Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.