Active NPI
Yolanda Lacher Bradford Rodriguez, ARNP, FNP-BC
- Family Nurse Practitioner
- Puyallup, WA
National Provider Identifier
1639609159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60763622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60763622 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | 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
- yolanda.rodriguez.1@18826.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/406d860b-12fc-4de0-877e-16ab01dbbff5/
- yrodriguez846752@direct.multicare.org
- 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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Pediatric Nurse Practitioner
- Puyallup, WA
- NPI 1689116691
-
- Health Maintenance Organization
- Puyallup, WA
- NPI 1992965750
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.