Good Shepherd Medical Services LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

GOOD SHEPHERD MEDICAL SERVICES LLC

Doing business as

Good Shepherd Medical Services LLC

Practice address

714 S 38TH CT
Renton, WA 98055-5894

Phone

(206) 372-2960

Fax

(425) 282-4455

NPI assigned

Sep 1, 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, ARNPNPI 1497484802

Title

President

Phone

(206) 372-2960

Specialties & licenses 1

Addresses

Other names 1

• Good Shepherd Medical Services LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hazeline Villaruz Gumiran-Alejandro, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Renton, WA
  • NPI 1497484802
  NPD (past) Authorized official

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1710607403",
    "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": {
        "organization_name": "GOOD SHEPHERD MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "GUMIRAN-ALEJANDRO",
        "authorized_official_first_name": "HAZELINE",
        "authorized_official_middle_name": "VILLARUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-372-2960",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Medical Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Kathryn L Gordon, PD, LE

• 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 Sep 1, 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.