Individual provider Active NPI

Melissa Leigh Rubin, CNM, ARNP

  • Advanced Practice Midwife
  • Seattle, WA
National Provider Identifier
1811043441
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP30006636 Issued in WA
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

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1033523MedicaidWA

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP60676456WAMDNurse Practitioner
AP30006636WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Fairfax Hospital Inc. CurrentSince Aug 9, 2017 Accepting new patients
Navos CurrentSince Mar 30, 2018 Accepting new patients
Navos CurrentSince Mar 30, 2018 Accepting new patients
Valley Medical Group-Renton Nurse Practitioner CurrentSince May 15, 2010 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.

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

Verify at the official NPI Registry.