Jennifer Rubio, DNP, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60647417 Issued in WA

Practice address

10310 Gravelly Lake Dr SW Ste B
Lakewood, WA 98499

Phone

(253) 888-3405

NPI assigned

Dec 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Rubio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakewood Wellness Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, WA
  • NPI 1134764509
  NPD Authorized official
• Recovery Innovations, Inc

  dba Ri International

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fife, WA
  • NPI 1659880078
  NPD (past)

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1861857336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 GRAVELLY LAKE DR SW STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984995014",
            "telephone_number": "253-888-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 GRAVELLY LAKE DR SW STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-888-3405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Meridian Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983716995",
            "country_code": "US",
            "telephone_number": "253-235-5216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "DNP, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60017401",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60647417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RUBIO",
            "credential": "DNP, ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Royer
• Donna Royster, HS
• Laisa Rozul, FNP
• Lilia Cutler Rubin-Tupper
• Christian Benjamin Rubio, MHP
• Seth Charles Rubio, DC
• Tobias Rucker Sr., AA
• Maria Ruhstorfer
• Joy P Ruiz-Molleston, MD
• Corina Ruiz

• Psychiatric/Mental Health Nurse Practitioner in Lakewood, WA
• Providers in Lakewood, 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 Apr 9, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.