Individual provider Active NPI

Ginger Nicole Rodriguez, NP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1871268870
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61204539 Issued in WA
Practice address
8720 14TH Ave S
Seattle, WA 98108-4807
Phone
(206) 762-3730
Fax
(206) 764-8000
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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 AP61204539 WA Primary

Addresses

Primary practice location

8720 14TH Ave S
Seattle, WA 98108-4807

Mailing address

8720 14TH Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730

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
I20221020002438 WA Practitioner - Nurse Practitioner 1254707938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17432 State Route 9 SE
Suite 201
Snohomish, WA 98296-8451
Phone (425) 404-7800

1830 Bickford Ave
Suite 211
Snohomish, WA 98290-1751
Phone (360) 563-5900

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown S'Klallam Tribe CurrentSince Oct 1, 2022 Accepting new patients
Jamestown S'Klallam Tribe Current Accepting new patients
Providence Health & Services - Washington CurrentSince Feb 1, 2025 Accepting new patients
Jamestown S'Klallam Tribe CurrentSince Oct 1, 2022 Accepting new patients
Providence Health & Services- Washington CurrentSince Feb 1, 2025 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

526 S 9th Ave
Sequim, WA 98382
Phone (360) 681-7755

808 N 5th Ave
Sequim, WA 98382
Phone (360) 582-4840

17432 State Route 9 SE
Ste 201
Snohomish, WA 98296
Phone (360) 668-1820

Interoperability endpoints

  • Direct secure messaging: grodriguez2059962@wm.providencedirect.org

Organizations & group practices 6

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1871268870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084807",
            "telephone_number": "206-762-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084807",
            "telephone_number": "206-762-3730",
            "fax_number": "206-764-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GINGER",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61204539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.