Lakewood Wellness Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LAKEWOOD WELLNESS CLINIC

Practice address

10310 Gravelly Lake Dr SW Ste B
Lakewood, WA 98499-5014

Phone

(253) 888-3405

NPI assigned

Nov 8, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Rubio, ARNPNPI 1861857336

Title

Owner

Phone

(253) 208-3179

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Rubio, DNP, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, WA
  • NPI 1861857336
  NPD Authorized official
• Christian Benjamin Rubio, MHP

  • Mental Health Counselor
  • Lakewood, WA
  • NPI 1467702506
  NPD

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1134764509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 GRAVELLY LAKE DR SW STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984995014",
            "telephone_number": "253-888-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 GRAVELLY LAKE DR SW STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984995014",
            "telephone_number": "253-888-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-208-3179",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakewood Oaks, LLC (The Oaks at Lakewood)
• Lakewood Orthopaedic Surgeons, P.S.
• Lakewood Pediatric Associates, PLLC
• Lakewood Pharmacy Inc (Lakewood Pharmacy)
• Lakewood Surgical Urology PS
• Kristin Laman, COTA
• Kristin Lamb
• Jennifer T Lamm, LPN
• Aldion Lamp
• Kiliemah Lane

• Psychiatric/Mental Health Nurse Practitioner in Lakewood, WA
• Providers in Lakewood, 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 Nov 21, 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.