Hazeline Villaruz Gumiran-Alejandro, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP61317271 Issued in WA

Practice address

714 S 38TH CT
Renton, WA 98055-5894

Phone

(206) 372-2960

Fax

(425) 282-4455

NPI assigned

Jun 9, 2022

Sex

Female

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

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Good Shepherd Medical Services LLC

  • Gerontology Nurse Practitioner
  • Renton, WA
  • NPI 1710607403
  NPD (past) Authorized official

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1497484802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S 38TH CT",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555894",
            "telephone_number": "206-372-2960",
            "fax_number": "425-282-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S 38TH CT",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555894",
            "telephone_number": "206-372-2960",
            "fax_number": "425-282-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMIRAN-ALEJANDRO",
        "first_name": "HAZELINE",
        "middle_name": "VILLARUZ",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61317271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie S Guan, CHIROPRACTOR
• Guarding Care LLC
• Daniela Guadalupe Guerrero
• Amy A Guillory, LMSW
• Fardous F Guled, RN
• Amy Spaulding Gunn, LMP
• Peter Gunter
• Christel Young-Shin Guntermann, OT
• Deborah Gur-Arie, DDS
• Scott J Gurley

• Gerontology Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Gerontology Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.