Active NPI
Hope Elizabeth Rutherford, PAC
- Physician Assistant
- Covington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60318322
- Practice address
- 27500 168TH PL SE
Covington, WA 98042-5563 - Phone
- (425) 690-3435
- Fax
- (425) 690-9435
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60318322 | WA | Primary |
Addresses
Primary practice location
27500 168TH PL SE
Covington, WA 98042-5563
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4970
Phone (425) 690-2715
Other practice location 1
10004 204th Ave E
#3400
Bonney Lake, WA 98391-6539
Phone (253) 848-5951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2024880 | Medicaid | WA |
Other names 1
- Hope Elizabeth Roberts
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 116TH Ave NE
Suite 200
Bellevue, WA 98004-4695
Phone (425) 635-3400
17209 Redmond Way
Redmond, WA 98052-4404
Phone (425) 635-6400
5708 E Lake Samm Pkwy SE
Issaquah, WA 98029-8942
Phone (425) 688-5488
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients |
Locations
1135 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 635-3400
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
10223 NE 10th St
Bellevue, WA 98004
Phone (425) 453-3288
5708 E Lake Sammamish Pkwy SE
Ste 102
Issaquah, WA 98029
Phone (425) 688-5488
13159 Newcastle Commons Dr
Newcastle, WA 98059
Phone (425) 635-3010
17209 Redmond Way
Redmond, WA 98052
Phone (425) 635-6400
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.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Emergency Medicine Physician
- Bellevue, WA
- NPI 1801900501
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Obstetrics & Gynecology Physician
- Issaquah, WA
- NPI 1073581807
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1912244203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100 ATTN CREDENTIALING",
"city": "RENTON",
"state": "WA",
"postal_code": "980574970",
"telephone_number": "425-690-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27500 168TH PL SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980425563",
"telephone_number": "425-690-3435",
"fax_number": "425-690-9435"
}
],
"practiceLocations": [
{
"address_1": "10004 204th Ave E",
"address_2": "#3400",
"address_purpose": "LOCATION",
"city": "Bonney Lake",
"state": "WA",
"postal_code": "983916539",
"country_code": "US",
"telephone_number": "253-848-5951",
"fax_number": "253-845-7073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "HOPE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60318322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2024880",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOPE",
"last_name": "ROBERTS",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.