Active NPI
Esme Therese Roddy
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
National Provider Identifier
1710552450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61608112
- Practice address
- 1618 S Lane St
Seattle, WA 98144-2829 - Phone
- (206) 464-1570
- Fax
- (206) 895-4977
- NPI assigned
- May 25, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61608112 | WA | Primary |
Addresses
Primary practice location
1618 S Lane St
Seattle, WA 98144-2829
Mailing address
1618 S Lane St
Seattle, WA 98144-2829
Phone (206) 464-1570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61608112 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients | |
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients | |
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients | |
| Downtown Emergency Service Center | Past | Accepting new patients |
Locations
1685 Westwood Dr
Ste 1
San Jose, CA 95125
1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112
1333 Meridian Ave
San Jose, CA 95125
Interoperability endpoints
- eroddy582703@direct.ochin.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1114290780
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1275964488
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1881997963
-
- Adult Mental Health Clinic/Center
- Seattle, WA
- NPI 1598470585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1710552450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 S LANE ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442829",
"telephone_number": "206-464-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 S LANE ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442829",
"telephone_number": "206-464-1570",
"fax_number": "206-895-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODDY",
"first_name": "ESME",
"middle_name": "THERESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61608112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.