Individual provider Active NPI

Rodie Adeline Renn-Lasher, MS, ARNP, APN-C

  • Adult Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1740404565
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP30001630 Issued in WA
Practice address
221 NE 104TH Ave
Suite 106
Vancouver, WA 98664-4505
Phone
(360) 253-2525
Fax
(360) 253-3611
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP30001630 WA Primary
Adult Health Nurse Practitioner 363LA2200X 200950042NP OR

Addresses

Primary practice location

221 NE 104TH Ave
Suite 106
Vancouver, WA 98664-4505

Mailing address

PO Box 864
Vancouver, WA 98666-0864
Phone (360) 608-5839

Other identifiers 1

IdentifierTypeStateIssuer
0184797OtherWALABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
200950042NPORMDAdult Health Nurse Practitioner
AP30001630WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Advanced MRI of Vancouver PS PastSince Aug 28, 2021 Accepting new patients

Organizations & group practices 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1740404565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986660864",
            "telephone_number": "360-608-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE 104TH AVE",
            "address_2": "SUITE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644505",
            "telephone_number": "360-253-2525",
            "fax_number": "360-253-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENN-LASHER",
        "first_name": "RODIE",
        "middle_name": "ADELINE",
        "credential": "MS, ARNP, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30001630",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200950042NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0184797",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.