Individual provider Active NPI

Erick Rodriguez

  • Registered Nurse
  • Yakima, WA
National Provider Identifier
1487381596
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60925609 Issued in WA
Practice address
201 S 2ND Ave
Yakima, WA 98902-3464
Phone
(509) 575-4084
NPI assigned
Aug 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60925609 WA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN60925609 WA

Addresses

Primary practice location

201 S 2ND Ave
Yakima, WA 98902-3464

Mailing address

PO Box 959
Yakima, WA 98907-0959

Other practice location 1

609 Speyers Rd
Selah, WA 98942-1050
Phone (509) 575-4084

Other practice location 2

504 S 3rd Ave
Yakima, WA 98902-3543
Phone (509) 575-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN60925609WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Healthcare - Bridges E&T PastSince Aug 14, 2022 Accepting new patients
Comprehensive Healthcare Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1487381596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 2ND AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023464",
            "telephone_number": "509-575-4084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Speyers Rd",
            "address_purpose": "LOCATION",
            "city": "Selah",
            "state": "WA",
            "postal_code": "989421050",
            "country_code": "US",
            "telephone_number": "509-575-4084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 S 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023543",
            "country_code": "US",
            "telephone_number": "509-575-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60925609",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN60925609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.