NPIMap

Individual provider Active NPI

Ralph Jay Nadong Pulido, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1427711746
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61042607 Issued in WA
Practice address
209 Lilly Rd NE
Olympia, WA 98506-5030
Phone
(360) 413-8250
NPI assigned
Oct 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61042607 WA
Family Nurse Practitioner 363LF0000X AP61042607 WA Primary

Addresses

Primary practice location

209 Lilly Rd NE
Olympia, WA 98506-5030

Mailing address

209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220517002516 WA Practitioner - Nurse Practitioner 6709263510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11800 NE 128TH St
Suite 100
Kirkland, WA 98034-7208
Phone (425) 899-4500

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 977-4620

16504 9TH Ave SE
Suite 106
Mill Creek, WA 98012-6388
Phone (425) 977-4626

209 Lilly Rd NE
Suite B
Olympia, WA 98506-5030
Phone (360) 413-8250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61042607WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates Clinical Practice, PLLC Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Pediatric Infusion Services LLC PastSince Oct 9, 2022 Accepting new patients
Puget Sound Gastroenterology, PLLC Past Accepting new patients
Cellnetix Pathology, PLLC Past Accepting new patients
Lake Washington Anesthesia PLLC Past Accepting new patients
Prime Health Clinic PLLC PastSince Oct 1, 2021 Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

16504 9th Ave SE
Ste 201
Mill Creek, WA 98012
Phone (425) 686-7138

209 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 413-8250

209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

Interoperability endpoints

  • Direct secure messaging: ralphjay.pulido@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1427711746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-413-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-413-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIDO",
        "first_name": "RALPH JAY",
        "middle_name": "NADONG",
        "credential": "MSN, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61042607",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61042607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.