Individual provider Active NPI

Joy P Ruiz-Molleston, MD

  • Addiction Medicine (Family Medicine) Physician
  • Lakewood, WA
National Provider Identifier
1851326722
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD00024942 Issued in WA
Practice address
7424 Bridgeport Way W
Suite 301
Lakewood, WA 98499-8120
Phone
(253) 474-5141
Fax
(253) 474-5507
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X MD00024942 WA Primary

Addresses

Primary practice location

7424 Bridgeport Way W
Suite 301
Lakewood, WA 98499-8120

Mailing address

5422 80TH Avenue CT W
Tacoma, WA 98467-3974
Phone (253) 565-6576

Other identifiers 2

IdentifierTypeStateIssuer
1084425MedicaidWA
RU5122OtherWAREGENCE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001567 WA Practitioner - General Practice 9537148408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Health Services CurrentSince Mar 31, 2009 Accepting new patients
Therapeutic Health Services CurrentSince Nov 3, 2020 Accepting new patients
Rafael Medicus Clinic, Corp. Past Accepting new patients

Locations

1116 Summit Ave
Seattle, WA 98101
Phone (206) 323-0930

5802 Rainier Ave S
Seattle, WA 98118
Phone (206) 723-1980

16715 Aurora Ave N
#102
Shoreline, WA 98133
Phone (206) 323-0930

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1851326722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 80TH AVENUE CT W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984673974",
            "telephone_number": "253-565-6576",
            "fax_number": "253-474-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W",
            "address_2": "SUITE 301",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998120",
            "telephone_number": "253-474-5141",
            "fax_number": "253-474-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-MOLLESTON",
        "first_name": "JOY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00024942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084425",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "RU5122",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.