Good Shepherd Medical Services LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GOOD SHEPHERD MEDICAL SERVICES LLC

Practice address

714 S 38TH CT
Renton, WA 98055-5894

Phone

(206) 372-2960

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Hazeline Villaruz Gumiran-Alejandro, NURSE PRACTITIONER

Title

Arnp

Phone

(206) 372-2960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1689392797",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "GUMIRAN-ALEJANDRO",
        "authorized_official_first_name": "HAZELINE",
        "authorized_official_middle_name": "VILLARUZ",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "206-372-2960",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Julia Gonzalez, PHARM.D.
• Mario Gonzalez Jr.
• Omar J Gonzalez, PA-C
• Natalie Goobes
• Good Living Adult Family Home LLC
• Good Shepherd Medical Services LLC
• Alaina Kay Goodman, M.A., LMHC
• Jeffrey J Goon, PA-C
• Hanvir Kaur Goraya, RN
• Joseph Lee Roy Gordon Jr., DSHS, CCHI

• Health Service Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.