Individual provider Active NPI

Thomas Paul Luedeke, ARNP

  • Family Nurse Practitioner
  • Richland, WA
National Provider Identifier
1760226211
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61598724 Issued in WA
Practice address
969 Stevens Dr Ste 3a
Richland, WA 99352-3558
Phone
(509) 713-1315
Fax
(877) 673-0795
NPI assigned
Jun 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 AP61598724 WA Primary

Addresses

Primary practice location

969 Stevens Dr Ste 3a
Richland, WA 99352-3558

Mailing address

969 Stevens Dr Ste 3a
Richland, WA 99352-3558
Phone (095) 713-1315

Other practice location 1

12 S 8th St
Yakima, WA 98901-3020
Phone (509) 454-4143

Other practice location 2

969 Stevens Dr Ste 1C
Richland, WA 99352-3557
Phone (509) 713-1315

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
I20241204002702 WA Practitioner - Nurse Practitioner 4284160060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Disruption Healthcare PLLCGroup PAC ID 4486007705, 7 clinicians

Practice addresses (Care Compare)

969 Stevens Dr
Suite 3a
Richland, WA 99352-3558
Phone 50971313151047

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61598724WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Neighborhood Health Services CurrentSince Sep 16, 2024 Accepting new patients
Disruption Healthcare PLLC CurrentSince Jul 1, 2025 Accepting new patients
Yakima Neighborhood Health Services CurrentSince Sep 16, 2024 Accepting new patients
Yakima Neighborhood Health Services Current Accepting new patients

Locations

969 Stevens Dr
Ste 3A
Richland, WA 99352
Phone (509) 713-1315

969 Stevens Dr
Ste 1C
Richland, WA 99352
Phone (509) 713-1315

1211 S 7th St
Yakima, WA 98901
Phone (509) 853-2372

12 S 8th St
Yakima, WA 98901

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1760226211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR STE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523558",
            "telephone_number": "095-713-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR STE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523558",
            "telephone_number": "509-713-1315",
            "fax_number": "877-673-0795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989013020",
            "country_code": "US",
            "telephone_number": "509-454-4143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "969 Stevens Dr Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523557",
            "country_code": "US",
            "telephone_number": "509-713-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUEDEKE",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61598724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.