Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johary Rodriguez, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1770954398

Johary Rodriguez, NURSEPRACTITIONER is a Nurse Practitioner in Payette, Idaho. Qualified in 2015, 11 years ago. Practices with Options for Southern Oregon, a 71-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Idaho.

Years since qualifying
11
Licensed in
FL, ID
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1441 NE 10th Ave
Payette, ID 83661-5420
Phone: (208) 642-3937
Fax: (208) 642-9598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 — (208) 625-5084

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 56903 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9325608 (FL)

Record details

NPI number1770954398
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 8, 2015
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Options For Southern Oregon — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Payette