Active NPI
Rukia N Busaidy, AGACNP-BC
- Nurse Practitioner
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2021037103
- Practice address
- 3810 Plaza Way
Kennewick, WA 99338-2722 - Phone
- (509) 221-7000
- NPI assigned
- Sep 2, 2021
- Last updated
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2021037103 | TX | Primary |
Addresses
Primary practice location
3810 Plaza Way
Kennewick, WA 99338-2722
Mailing address
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2004 N 22ND Ave
Pasco, WA 99301-3313
Phone (509) 547-8811
216 W 10TH Ave
Kennewick, WA 99336-6304
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021037103 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wa Pacs 2 PC | Current | Accepting new patients | |
| Washington Pac Services PC | Current | Accepting new patients | |
| CS Pacs 3 Northwest, LLC | Current | Accepting new patients | |
| RCCH Trios Health LLC | Current | Accepting new patients |
Locations
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107
135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433
216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
2004 N 22nd Ave
Pasco, WA 99301
Phone (208) 995-1122
920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422
3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000
14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644
414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1831682806
-
- Hospitalist Physician
- Spokane, WA
- NPI 1336678168
-
- Hospitalist Physician
- Puyallup, WA
- NPI 1811752066
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1144706532
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1598433609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 PLAZA WAY",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382722",
"telephone_number": "509-221-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 PLAZA WAY",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382722",
"telephone_number": "509-221-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSAIDY",
"first_name": "RUKIA",
"middle_name": "N",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "2021037103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.