Individual provider Active NPI

Lydia Rosado Rogers, AU.D.

  • Audiologist
  • Pasco, WA
National Provider Identifier
1629526330
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD60757600 Issued in WA
Practice address
3924 W Court St
Pasco, WA 99301-2775
Phone
(509) 380-7044
Fax
(509) 544-5792
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SP-1120-AU MA
Audiologist 231H00000X LD60757600 WA Primary

Addresses

Primary practice location

3924 W Court St
Pasco, WA 99301-2775

Mailing address

3924 W Court St
Pasco, WA 99301-2775
Phone (509) 380-7044

Other practice location 1

1 Pearl St
1300
Brockton, MA 02301-2864
Phone (617) 789-5004

Other practice location 2

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 987-5173

Other practice location 3

55 W Tietan St
Walla Walla, WA 99362-4498
Phone (509) 525-3720 ext. 1401

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-1120-AUMAMDAudiologist
LD60757600WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service District 123 Past Accepting new patients

Organizations & group practices 1

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1629526330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012775",
            "telephone_number": "509-380-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012775",
            "telephone_number": "509-380-7044",
            "fax_number": "509-544-5792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Pearl St",
            "address_2": "1300",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023012864",
            "country_code": "US",
            "telephone_number": "617-789-5004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Sand Point Way NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981053901",
            "country_code": "US",
            "telephone_number": "206-987-5173",
            "fax_number": "206-987-3599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 W Tietan St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624498",
            "country_code": "US",
            "telephone_number": "509-525-3720 x1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LYDIA",
        "middle_name": "ROSADO",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "SP-1120-AU",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60757600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.