Individual provider Active NPI

Caleb R Ledford, ARNP

  • Nurse Practitioner
  • Richland, WA
National Provider Identifier
1831438472
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60330346 Issued in WA
Practice address
821 Swift Blvd
Richland, WA 99352-3513
Phone
(509) 606-5040
Fax
(509) 946-7253
NPI assigned
Feb 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60330346 WA Primary

Addresses

Primary practice location

821 Swift Blvd
Richland, WA 99352-3513

Mailing address

821 Swift Blvd
Richland, WA 99352-3513
Phone (509) 606-5040

Other practice location 1

6703 W Rio Grande Ave
Kennewick, WA 99336-2623
Phone (509) 460-5588

Other identifiers 2

IdentifierTypeStateIssuer
0448593OtherWALABOR AND INDUSTRIES
2024673MedicaidWA

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
I20130410000466 WA Practitioner - Nurse Practitioner 2567608847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Spine InstituteGroup PAC ID 3779979125, 10 clinicians

Practice addresses (Care Compare)

821 Swift Blvd
Richland, WA 99352-3513
Phone (509) 606-5040

965 Goethals Dr
Richland, WA 99352-3527
Phone (509) 606-5040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Spine Institute CurrentSince May 1, 2022 Accepting new patients
Apex Spine Institute Past Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

821 Swift Blvd
Richland, WA 99352
Phone (509) 606-5040

985 Goethals Dr
Richland, WA 99352
Phone (509) 460-5588

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.

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": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1831438472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SWIFT BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523513",
            "telephone_number": "509-606-5040",
            "fax_number": "509-946-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SWIFT BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523513",
            "telephone_number": "509-606-5040",
            "fax_number": "509-946-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6703 W Rio Grande Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362623",
            "country_code": "US",
            "telephone_number": "509-460-5588",
            "fax_number": "509-783-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "CALEB",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-01",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60330346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0448593",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024673",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.