Active NPI
Ronnie Sheen Bodden, MC15772 SC10033
- Interpreter
- Richland, WA
National Provider Identifier
1942874243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interpreter
- License
- MC15772
- Practice address
- 2650 Willowbrook Ave
Richland, WA 99352-8721 - Phone
- (509) 578-4665
- NPI assigned
- May 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interpreter | 171R00000X | MC15772 | WA | Primary |
Addresses
Primary practice location
2650 Willowbrook Ave
Richland, WA 99352-8721
Mailing address
2650 Willowbrook Ave
Richland, WA 99352-8721
Phone (509) 578-4665
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC15772 | WA | MD | Interpreter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1942874243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 WILLOWBROOK AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528721",
"telephone_number": "509-578-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 WILLOWBROOK AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528721",
"telephone_number": "509-578-4665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODDEN",
"first_name": "RONNIE",
"middle_name": "SHEEN",
"credential": "MC15772 SC10033",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "171R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Interpreter",
"state": "WA",
"license": "MC15772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.