Active NPI
Capstone Medical LLC
Doing business as Reliable Medical Supply
- Durable Medical Equipment & Medical Supplies
- Lakewood, WA
National Provider Identifier
1346711884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CAPSTONE MEDICAL LLC
- Doing business as
- Reliable Medical Supply
- Practice address
- 9501 Lakewood Dr SW BLDG 24
Ste D
Lakewood, WA 98499-5961 - Phone
- (800) 574-7982
- Fax
- (800) 574-3017
- NPI assigned
- Dec 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiley Ann Russell
- Title
- Senior Director of Payor Relations
- Phone
- (629) 252-8211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X |
Addresses
Primary practice location
9501 Lakewood Dr SW BLDG 24
Ste D
Lakewood, WA 98499-5961
Mailing address
9495 Winnetka Ave N Ste 200
Brooklyn Park, MN 55445-1706
Phone (763) 255-3800
Other names 1
- Reliable Medical Supply
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190411001784 | WA | DME Supplier - Medical Supply Company | 0547501900 | Practice locations: Lakewood, WA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Capstone Medical LLC | Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (S… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
9501 Lakewood Dr SW
Bldg 24
Lakewood, WA 98499
Phone (800) 574-7982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1346711884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9495 WINNETKA AVE N STE 200",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554451706",
"telephone_number": "763-255-3800",
"fax_number": "763-255-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 LAKEWOOD DR SW BLDG 24",
"address_2": "STE D",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984995961",
"telephone_number": "800-574-7982",
"fax_number": "800-574-3017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPSTONE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-10",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "KILEY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SENIOR DIRECTOR OF PAYOR RELATIONS",
"authorized_official_telephone_number": "629-252-8211"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Reliable Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.