Active NPI
Melissa Leigh Rubin, CNM, ARNP
- Advanced Practice Midwife
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP30006636
- Practice address
- 4221 SW Juneau St
Seattle, WA 98136-1621 - Phone
- (206) 203-2166
- NPI assigned
- Jan 26, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60676456 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60676456 | WA | |
| Advanced Practice Midwife | 367A00000X | AP30006636 | WA | Primary |
Addresses
Primary practice location
4221 SW Juneau St
Seattle, WA 98136-1621
Mailing address
4221 SW Juneau St
Seattle, WA 98136-1621
Phone (206) 203-2166
Other practice location 1
1101 Madison Street
Suite 700
Seattle, WA 98104-3599
Phone (206) 215-6900
Other practice location 2
10200 NE 132nd St
Kirkland, WA 98034-2831
Phone (425) 821-2000
Other practice location 3
1 E Main St Ste 100
Auburn, WA 98002-4905
Phone (425) 690-3480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033523 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60676456 | WA | MD | Nurse Practitioner |
| AP30006636 | WA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Fairfax Hospital Inc. | Current | Accepting new patients | |
| Navos | Current | Accepting new patients | |
| Navos | Current | Accepting new patients | |
| Valley Medical Group-Renton | Nurse Practitioner | Current | Accepting new patients |
Locations
1 E Main St
Ste 100
Auburn, WA 98002
Phone (253) 939-9654
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
916 Pacific Ave
Fl 7
Everett, WA 98201
Phone (425) 303-6500
10200 NE 132nd St
Kirkland, WA 98034
Phone (425) 821-2000
4033 Talbot Rd S
Ste 440
Renton, WA 98055
Phone (425) 656-5321
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
2600 SW Holden St
Seattle, WA 98126
Phone (206) 241-0990
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Kirkland, WA
- NPI 1104959097
-
- Psychiatric Hospital
- Seattle, WA
- NPI 1124034699
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1194728105
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1811043441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 SW JUNEAU ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361621",
"telephone_number": "206-203-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 SW JUNEAU ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361621",
"telephone_number": "206-203-2166"
}
],
"practiceLocations": [
{
"address_1": "1101 Madison Street",
"address_2": "Suite 700",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043599",
"country_code": "US",
"telephone_number": "206-215-6900",
"fax_number": "206-215-6301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10200 NE 132nd St",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980342831",
"country_code": "US",
"telephone_number": "425-821-2000",
"fax_number": "425-814-5648",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 E Main St Ste 100",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980024905",
"country_code": "US",
"telephone_number": "425-690-3480",
"fax_number": "425-690-9480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBIN",
"first_name": "MELISSA",
"middle_name": "LEIGH",
"credential": "CNM, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60676456",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60676456",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP30006636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033523",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.