Individual provider Active NPI

Yolanda Lacher Bradford Rodriguez, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1639609159
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60763622 Issued in WA
Practice address
15214 Canyon Rd E
Puyallup, WA 98375
Phone
(253) 539-4200
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60763622 WA Primary

Addresses

Primary practice location

15214 Canyon Rd E
Puyallup, WA 98375

Mailing address

15214 Canyon Rd E
Puyallup, WA 98375-7472
Phone (253) 228-4862

Other practice location 1

1420 3rd St SE Ste 200
Puyallup, WA 98372-3730
Phone (253) 848-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180605003374 WA Practitioner - Nurse Practitioner 6103181557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60763622WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jun 27, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jun 27, 2025 Accepting new patients
Pediatric Health Care Past Accepting new patients
Pediatric Health Care Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: yolanda.rodriguez.1@18826.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/406d860b-12fc-4de0-877e-16ab01dbbff5/
  • Direct secure messaging: yrodriguez846752@direct.multicare.org
  • Direct secure messaging: yrodriguez@landmarkhealth-direct.org

Organizations & group practices 5

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1639609159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15214 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983757472",
            "telephone_number": "253-228-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15214 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98375",
            "telephone_number": "253-539-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 3rd St SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723730",
            "country_code": "US",
            "telephone_number": "253-848-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YOLANDA",
        "middle_name": "LACHER BRADFORD",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60763622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.