IndividualActive
Lydia Rodriguez, WHNP
NPI 1790149961 · Women's Health Nurse Practitioner · Mountain Home Afb, ID
Provider details
- NPI number
- 1790149961
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- WHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 28164518A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648-1062
Phone: (208) 828-7111
Fax: (208) 828-7902
Street-level locationGet directions
Mailing address
90 Hope Drve
Mountain Home, ID 83648
Registry dates
- Enumerated
- 2016-04-13
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.