Rustin Riley Gibbs

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

RC00057807 Issued in WA

Practice address

220 S 3Rd PL
Renton, WA 98057-2405

Phone

(425) 228-0074

NPI assigned

Jun 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• LDS Family Services

  • Community/Behavioral Health Agency
  • Renton, WA
  • NPI 1184974362
  NPD (past)

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1356577548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22533 12TH PL W",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219429",
            "telephone_number": "206-200-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 3RD PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572405",
            "telephone_number": "425-228-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "RUSTIN",
        "middle_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "RC00057807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Get in Touch Therapy
• Surafel Befekadu Gezahegne, MD
• Ghafghazi DDS,P.S.
• Shadi Ghaibi, PHARMD
• Mariah Renee Gibbs, N.C.C., LPC
• Sunny Sunmin Gil, DPT
• Benjaman James Gilham, AUD, D
• Gill Chiropractic Dba Premier Chiropractic #7
• Andrew C Gill, LICSW
• Charanpreet S Gill

• Marriage & Family Therapist in Renton, WA
• Providers in Renton, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.