Bryan Rubin

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61450057 Issued in WA

Practice address

21900 E Country Vista Dr Unit L207
Liberty Lake, WA 99019-5174

Phone

(509) 595-1667

NPI assigned

Jan 26, 2026

Last updated

Jan 26, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1467301200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21900 E COUNTRY VISTA DR UNIT L207",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21900 E COUNTRY VISTA DR UNIT L207",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195174",
            "telephone_number": "509-595-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61450057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockwood Clinic PS (Rockwood Urgent Care-Liberty Lake)
• Rockwood Clinic PS (Rockwood Liberty Lake)
• Chantel Rose Rogge, LMT
• Jean M Rohrer, CRNP MSN
• Shandra Thea Rotenberry, LICSW
• Xiola Sabastian
• Carrie Sarff, LMP
• Amy Karen Schaffner, FNP-BC
• Bradley Schuldt
• Tracy Schwartzman, NP

• Registered Nurse in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.