Individual provider Active NPI

Rachel Ridley, APRN

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1639897242
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP70019380 Issued in WA
Practice address
2508 7TH St SE
Puyallup, WA 98374-1105
Phone
(253) 841-6600
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9339164 FL
Family Nurse Practitioner 363LF0000X AP70019380 WA Primary
Family Nurse Practitioner 363LF0000X APRN11040620 FL

Addresses

Primary practice location

2508 7TH St SE
Puyallup, WA 98374-1105

Mailing address

2508 7TH St SE
Puyallup, WA 98374-1105

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
I20250826004857 WA Practitioner - Nurse Practitioner 3870093420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
CS Pacs 3 Northwest LLCGroup PAC ID 8729526496, 26 clinicians

Practice addresses (Care Compare)

2508 7TH St SE
Puyallup, WA 98374-1105
Phone (253) 841-6601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9339164FLMDRegistered Nurse
APRN11040620FLMDFamily Nurse Practitioner
AP70019380WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Pac Services PC CurrentSince Aug 11, 2025 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Aug 11, 2025 Accepting new patients
Wa Pacs 2 PC CurrentSince Aug 11, 2025 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

2508 7th St SE
Puyallup, WA 98374
Phone (253) 841-6600

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

Organizations & group practices 3

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1639897242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 7TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 7TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741105",
            "telephone_number": "253-841-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9339164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70019380",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.