RICARDO WALTER RODRIGUEZ (NPI# 1992858377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992858377 |
| Entity Type | Individual |
| Full Name | RICARDO WALTER RODRIGUEZ |
| Credential | ARNP |
| Practice Address |
12800 Bothell Everett Hwy Everett WA 98208-6642 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 4253165150 |
| Practice Fax Number | 4252251006 |
| Mailing Telephone | 8663662983 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30006969 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7034218 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015507 | Ricardo Alfonso Rodriguez | Physical Therapist | 1034 N Broadway Ste 204, Yonkers, NY 10701-1328 | 2018-06-01 |
| 1003275165 | Ricardo Rodriguez | Optometrist | 5225 Las Colinas Blvd Apt 4060, Irving, TX 75039-4581 | 2016-02-17 |
| 1568711414 | Ricardo Rodriguez | Community Health Worker | 3180 Center St., Salem, OR 97301 | 2012-09-06 |
| 1477655710 | Ricardo Luis Rodriguez | General Practice | Go35 Ave Campo Rico, Country Club, Carolina, PR 00982-2678 | 2006-09-05 |
| 1467471821 | Ricardo E Rodriguez | Specialist | 318 E Westfield Ave, Roselle Park, NJ 07204-2318 | 2006-07-18 |
| 1356309686 | Ricardo Rodriguez Sr. | Dentist | Edificio Guayacan Calle Jose C Vasquez #202, Suite 111, Aibonito, PR 00705 | 2006-05-03 |
| 1457314957 | Ricardo A Rodriguez | Physical Medicine & Rehabilitation | Bg176 Calle 54, Rio Grande, PR 00745 | 2006-04-07 |
| 1427538784 | Ricardo A Rodriguez | Nurse Practitioner | 6801 Mcpherson Rd Ste 220, Laredo, TX 78041-6403 | 2018-08-16 |
| 1073093639 | Ricardo Rodriguez | Licensed Vocational Nurse | 2715 Cornerstone Blvd, Edinburg, TX 78539-8464 | 2018-08-14 |
| 1184123374 | Ricardo Rodriguez | Physical Therapist | 7430 Remcon Cir Bldg A, El Paso, TX 79912 | 2018-02-02 |
| Street Address |
12800 BOTHELL EVERETT HWY |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-6642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963404 | James Daniel Bass | Family Medicine | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 2005-06-24 |
| 1437620499 | Laboratory Corporation of America | Clinical Medical Laboratory | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 2018-12-16 |
| 1306375563 | Coreyanne L Griffin | Counselor | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 2017-06-09 |
| 1407389448 | Bushra Rahman | Internal Medicine | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 2017-04-06 |
| 1831639731 | Providence Health & Services | Home Health Aide | 12800 Bothell Everett Hwy, Suite 290, Everett, WA 98208-6642 | 2017-02-27 |
| 1700325826 | Caroline Judd | Social Worker | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 2017-02-22 |
| 1225485550 | Amy Barrows | Nurse Practitioner | 12800 Bothell Everett Hwy, Suite 120, Everett, WA 98208-6642 | 2016-05-17 |
| 1104299601 | Gary Dale Montgomery | Physician Assistant | 12800 Bothell Everett Hwy, Ste A, Everett, WA 98208-6642 | 2015-11-05 |
| 1457731556 | Laura Knapp | Counselor | 12800 Bothell Everett Hwy, Suite 290, Everett, WA 98208-6642 | 2015-06-03 |
| 1174903603 | Justin Gill | Nurse Practitioner | 12800 Bothell Everett Hwy, Everett, WA 98208 | 2015-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144867649 | Toni Sheree Waller | Nurse Practitioner | 10904 29th Dr Se, Everett, WA 98208-7810 | 2019-12-03 |
| 1689148090 | Bernadette N Kimemia | Nurse Practitioner | 6210 147th Pl Se, Everett, WA 98208-9387 | 2019-01-18 |
| 1942651906 | Breanne Marcucci | Nurse Practitioner | 11314 4th Ave W Ste 108, Everett, WA 98204-6926 | 2016-06-30 |
| 1578934568 | Nicole Mills | Nurse Practitioner | 12728 19th Ave Se # 200, Everett, WA 98208-6526 | 2015-10-15 |
| 1528377991 | Sonya Beth Starr | Nurse Practitioner | 15 Sw Everett Mall Way Ste A, Everett, WA 98204 | 2010-10-01 |
| 1043538440 | Sejal Parekh Graber | Nurse Practitioner | 1330 Rockefeller Ave Ste 200, Everett, WA 98201-1677 | 2010-05-10 |
| 1780834549 | Susan G Black | Nurse Practitioner | 227 Hospital Dr Ste 1, Everett, PA 15537-7019 | 2008-09-29 |
| 1639347438 | Alan Paul Abrams | Nurse Practitioner | 2731 Wetmore Avenue, Suite 500, Everett, WA 98201-3581 | 2008-02-14 |
| 1871688689 | Carol Dillon Mccahon | Nurse Practitioner | 930 N. Broadway, Everett, WA 98201 | 2006-10-04 |
| 1114926094 | Andrew Staffier | Nurse Practitioner | 596 Broadway, Everett, MA 02149-3743 | 2005-07-21 |
| Find all providers in EVERETT | ||||
Please comment or provide details below to improve the information on RICARDO WALTER RODRIGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.