Individual provider Active NPI

Christina Rodriguez, ARNP

  • Family Nurse Practitioner
  • Richland, WA
National Provider Identifier
1780285049
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61110645 Issued in WA
Practice address
104 Columbia Point Dr
Richland, WA 99352-4387
Phone
(509) 942-3190
Fax
(509) 943-6197
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61110645 WA Primary
Nurse Practitioner 363L00000X AP61110645 WA

Addresses

Primary practice location

104 Columbia Point Dr
Richland, WA 99352-4387

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 473-0637

Other practice location 1

9221 Sandifur Pkwy Ste A
Pasco, WA 99301-9241
Phone (509) 233-7546

Other practice location 2

140 Gage Blvd Ste 100
Richland, WA 99352-8916
Phone (509) 267-3321

Other identifiers 1

IdentifierTypeStateIssuer
2178844MedicaidWA

Other names 1

  • Christina Ruelas Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address christina@atomicderm.com Direct
Direct Messaging Address christina@juventudderm.com Health Information Exchange (HIE)

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
I20210118000698 WA Practitioner - Nurse Practitioner 5991118697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

104 Columbia Point Dr
Richland, WA 99352-4387
Phone 50994231907417

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61110645WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juventud Dermatology PLLC Current Accepting new patients
Kadlec Regional Medical Center CurrentSince May 1, 2024 Accepting new patients
Kadlec Regional Medical Center CurrentSince May 1, 2024 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients

Locations

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

550 Gage Blvd
Ste 101
Richland, WA 99352

104 Columbia Point Dr
Richland, WA 99352
Phone (509) 942-1600

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

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.

Hospital & facility affiliations 1

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1780285049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-473-0637",
            "fax_number": "509-627-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COLUMBIA POINT DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524387",
            "telephone_number": "509-942-3190",
            "fax_number": "509-943-6197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9221 Sandifur Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993019241",
            "country_code": "US",
            "telephone_number": "509-233-7546",
            "fax_number": "509-795-3508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Gage Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993528916",
            "country_code": "US",
            "telephone_number": "509-267-3321",
            "fax_number": "509-267-2833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61110645",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61110645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2178844",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina@atomicderm.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9221 Sandifur Pkwy Ste A",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993019241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina@juventudderm.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "140 Gage Blvd Ste 100",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993528916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "RUELAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.