Individual provider Active NPI

Christian Noel Podaca, ARNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1629788336
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP.AP.70087582-NP Issued in WA
Practice address
1708 Yakima Ave Ste 107
Tacoma, WA 98405-5300
Phone
(253) 207-4850
NPI assigned
Dec 5, 2022
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250401003268 GA Practitioner - Nurse Practitioner 8921521832 Reassigns benefits to 1 organization
I20260625002413 WA Practitioner - Nurse Practitioner 8921521832 Reassigns benefits to 1 organization

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
Georgia Nephrology, LLCGroup PAC ID 4082606496, 29 clinicians

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

LicenseStateTypeSpecialty
2024089462GAMDAdult Health Nurse Practitioner
ARNP.AP.70087582NPWAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Nephrology, LLC Single Specialty CurrentSince Apr 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.