Active NPI
Lydia Rosado Rogers, AU.D.
- Audiologist
- Pasco, WA
National Provider Identifier
1629526330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60757600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1120-AU | MA | MD | Audiologist |
| LD60757600 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Pasco, WA
- NPI 1437339306
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.