Active NPI
Joy P Ruiz-Molleston, MD
- Addiction Medicine (Family Medicine) Physician
- Lakewood, WA
National Provider Identifier
1851326722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- MD00024942
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1084425 | Medicaid | WA | |
| RU5122 | Other | WA | REGENCE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Health Services | Current | Accepting new patients | |
| Therapeutic Health Services | Current | 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.
-
dba Youth and Family Services Seattle
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1780756080
-
- Family Medicine Physician
- Lakewood, WA
- NPI 1558718684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.