NPI age
10 years
Enumerated 2015-10-08
● Active
Type 1 · Individual
Johary Rodriguez, NURSE PRACTITIONER
Rodriguez is 1 of 2 nurse practitioner providers in Payette and 1 of 374 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
10 years
↑ 6 yr above median (4 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-10Enumerated in NPPES
2015
2026
Where they practice
Practice location
1441 Ne 10th Ave
Payette, ID 836615420
Mailing address
1441 Ne 10th Ave
Payette, ID 836615420
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.