Individual provider Active NPI

Hazel Rose Ruste King, NP

  • Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1558905356
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61501372 Issued in WA
Practice address
610 S Meridian
Puyallup, WA 98371-5908
Phone
(253) 881-1844
Fax
(253) 881-1925
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61501372 WA Primary

Addresses

Primary practice location

610 S Meridian
Puyallup, WA 98371-5908

Mailing address

610 S Meridian
Puyallup, WA 98371-5908
Phone (253) 881-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200330003648 TX Practitioner - Nurse Practitioner 1850720673 Reassigns benefits to 1 organization
I20231206000312 WA Practitioner - Nurse Practitioner 1850720673 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Youth and Family CounselingGroup PAC ID 7012338981, 32 clinicians
Trinity Family Medical ClinicGroup PAC ID 5991073645, 2 clinicians

Practice addresses (Care Compare)

16000 Christensen Rd
Suite 200
Tukwila, WA 98188-2925
Phone 70279035833583

610 S Meridian
Puyallup, WA 98371-5908
Phone (253) 881-1844

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton CurrentSince Dec 7, 2019 Accepting new patients
Trinity Family Medical Clinic CurrentSince May 1, 2024 Accepting new patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
Harbor Youth and Family Counseling CurrentSince Nov 21, 2023 Accepting new patients
Post Acute Medical PLLC CurrentSince Mar 20, 2025 Accepting new patients
Mso Washington, Inc. Nurse Practitioner CurrentSince Jan 29, 2024 Accepting new patients
Ascension Seton CurrentSince Dec 7, 2019 Accepting new patients
Ascension Seton Current Accepting new patients
Aryyn PLLC Gerontology CurrentSince Dec 5, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000

1201A Hill Rd
Smithville, TX 78957
Phone (512) 360-3698

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

33400 8th Ave S
Ste 232
Federal Way, WA 98003

221 W Wynooche Ave
Unit B
Montesano, WA 98563
Phone (360) 280-4969

510 E Main
Puyallup, WA 98372
Phone (253) 325-1121

610 S Meridian
Puyallup, WA 98371
Phone (253) 845-2629

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

15127 Main St E
Unit 104
Sumner, WA 98390

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

4903 108th St SW
Tacoma, WA 98499
Phone (253) 584-3577

16000 Christensen Rd
Ste 200
Tukwila, WA 98188
Phone (833) 719-0886

Interoperability endpoints

  • Direct secure messaging: hazel.king.3@8363.direct.athenahealth.com
  • Direct secure messaging: hazel.king.2@8363.direct.athenahealth.com
  • Direct secure messaging: hazel.king.1@24259.direct.athenahealth.com
  • Direct secure messaging: hazel.king.1@8363.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1558905356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715908",
            "telephone_number": "253-881-1844",
            "fax_number": "253-881-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715908",
            "telephone_number": "253-881-1844",
            "fax_number": "253-881-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "HAZEL ROSE",
        "middle_name": "RUSTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61501372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.