Organization Active NPI

North Sound Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1386354330
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NORTH SOUND MENTAL WELLNESS
Practice address
5005 200TH St SW Ste B
Lynnwood, WA 98036-6679
Phone
(206) 636-1211
Fax
(425) 678-0434
NPI assigned
Nov 30, 2022
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Mishele Marie Rutherford, ARNPNPI 1013558030
Title
Owner/Provider
Phone
(206) 743-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5005 200TH St SW Ste B
Lynnwood, WA 98036-6679

Mailing address

5005 200TH St SW Ste B
Lynnwood, WA 98036-6679
Phone (206) 636-1211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1386354330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 200TH ST SW STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366679",
            "telephone_number": "206-636-1211",
            "fax_number": "425-678-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 200TH ST SW STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366679",
            "telephone_number": "206-636-1211",
            "fax_number": "425-678-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SOUND MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "MISHELE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "206-743-1020",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.