Active NPI
Rebecca Brown Rush-Peet, M.D.
- Family Medicine Physician
- Maple Valley, WA
National Provider Identifier
1336135326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00024168
- Practice address
- 24080 SE Kent Kangley Rd
Maple Valley, WA 98038-6801 - Phone
- (253) 372-7680
- NPI assigned
- Sep 23, 2005
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00024168 | WA | Primary |
Addresses
Primary practice location
24080 SE Kent Kangley Rd
Maple Valley, WA 98038-6801
Mailing address
24080 SE Kent Kangley Rd
Maple Valley, WA 98038-6801
Phone (253) 372-7680
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193753 | Other | WA | LABOR & INDUSTRIES |
| 8141020 | Medicaid | WA | |
| MD00024168 | Other | WA | STATE LICENSE |
Other names 1
- Rebecca Brown Rush
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00024168 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Family Medical Center, Inc., P.S. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Auburn, WA
- NPI 1427278001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1336135326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24080 SE KENT KANGLEY RD",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980386801",
"telephone_number": "253-372-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24080 SE KENT KANGLEY RD",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980386801",
"telephone_number": "253-372-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH-PEET",
"first_name": "REBECCA",
"middle_name": "BROWN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00024168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "193753",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8141020",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD00024168",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "RUSH",
"middle_name": "BROWN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.