Mishele M Rutherford, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61004262 Issued in WA

Practice address

20508 56TH Ave W
Lynnwood, WA 98036-7650

Phone

(206) 743-1020

NPI assigned

Oct 1, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mishele M Bang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Sound Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
  • NPI 1386354330
  NPD Authorized official
• Sundew Integrated Recovery PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
  • NPI 1033850474
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1013558030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 SPOKANE DR APT 203",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036760",
            "telephone_number": "206-743-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 56TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367650",
            "telephone_number": "206-743-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "MISHELE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61004262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISHELE",
            "last_name": "BANG",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fatima Ruiz-Gallegos
• Christopher Ruiz
• Lauren Russel, N.D.
• Danica Russell
• Toni Ruth, PTA
• Nancy C. Rutter, M.S., CCC-SLP
• RWW Home & Community Rehab Services, Inc.
• RWW Home and Community Rehab Services, Inc.
• RWW Pediatric Rehab Services LLC
• Ryan Larsen Psychotherapy, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.