Marla Rudd Brucken, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60303512 Issued in WA

Practice address

1424 NE 155TH St Ste 205
Shoreline, WA 98155-7104

Phone

(425) 620-3072

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mountain Peak Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shoreline, WA
  • NPI 1043855471
  NPD Authorized official
• Mary Elizabeth Cain

  • Psychiatric/Mental Health Nurse Practitioner
  • Shoreline, WA
  • NPI 1043037708
  NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1841546413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 LAKE CITY WAY NE # 422",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255401",
            "telephone_number": "425-620-3072",
            "fax_number": "206-694-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 NE 155TH ST STE 205",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557104",
            "telephone_number": "425-620-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKEN",
        "first_name": "MARLA",
        "middle_name": "RUDD",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60303512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alva Phillip Brower, L.M.P.
• Bridget Ann Brown
• Jacqueline Marie Brown, M.A., CCC-SLP
• Jenny Brown
• William Gammell Brown
• Andrea Brudvig, MSW
• Matthew Bruner
• Tess Eileen Buck, BA
• Shannon Nicole Budelman, M.A., M.ED., LMHC
• Marta Buell, LMHCA

• Psychiatric/Mental Health Nurse Practitioner in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.