Active NPI
Christian Noel Podaca, ARNP
- Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP.AP.70087582-NP
- Practice address
- 1708 Yakima Ave Ste 107
Tacoma, WA 98405-5300 - Phone
- (253) 207-4850
- NPI assigned
- Dec 5, 2022
- Last updated
- Sep 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP.AP.70087582-NP | WA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 2024089462 | GA | |
| Gerontology Nurse Practitioner | 363LG0600X | ARNP.AP.70087582-NP | WA | |
| Hemodialysis Registered Nurse | 163WH0500X | RN280762 | GA |
Addresses
Primary practice location
1708 Yakima Ave Ste 107
Tacoma, WA 98405-5300
Mailing address
1708 Yakima Ave Ste 107
Tacoma, WA 98405-5300
Phone (253) 207-4850
Other practice location 1
595 Hurricane Shoals Rd NW Ste 100
Lawrenceville, GA 30046-8762
Phone (404) 645-7150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
595 Hurricane Shoals Rd NW
Suite 100
Lawrenceville, GA 30046-8762
Phone (404) 645-7150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024089462 | GA | MD | Adult Health Nurse Practitioner |
| ARNP.AP.70087582NP | WA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Nephrology, LLC | Single Specialty | Current | Accepting new patients |
Locations
497 Winn Way
Ste A210
Decatur, GA 30030
Phone (404) 294-7033
595 Hurricane Shoals Rd NW
Ste 100
Lawrenceville, GA 30046
Phone (404) 645-7150
Interoperability endpoints
- cpodaca75553@direct.acumenmd.com
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.
-
dba Franciscan Orthopedics-Silverdale
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1629788336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE STE 107",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055300",
"telephone_number": "253-207-4850",
"fax_number": "253-383-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE STE 107",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055300",
"telephone_number": "253-207-4850"
}
],
"practiceLocations": [
{
"address_1": "595 Hurricane Shoals Rd NW Ste 100",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300468762",
"country_code": "US",
"telephone_number": "404-645-7150",
"fax_number": "404-645-7177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PODACA",
"first_name": "CHRISTIAN",
"middle_name": "NOEL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-05",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "ARNP.AP.70087582-NP",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "2024089462",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "ARNP.AP.70087582-NP",
"primary": false
},
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "GA",
"license": "RN280762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.