MISHELE M RUTHERFORD (NPI# 1013558030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013558030 |
| Entity Type | Individual |
| Full Name | MISHELE M RUTHERFORD |
| Other Name | MISHELE M BANG |
| Credential | ARNP |
| Practice Address |
20508 56th Ave W Lynnwood WA 98036-7650 |
| Mailing Address |
8210 Spokane Dr Apt 203 Everett WA 98203-6760 |
| Practice Telephone | 2067431020 |
| Mailing Telephone | 2067431020 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP61004262 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20508 56TH AVE W |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-7650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1689272403 | Suzette Harvey | Counselor | 20508 56th Ave W, Lynnwood, WA 98036-7650 | 2020-10-14 |
| 1720625361 | Lisa Anne Da Costa | Counselor | 20508 56th Ave W, Lynnwood, WA 98036-7650 | 2019-12-03 |
| 1376105908 | Jennifer Wozniak | Social Worker | 20508 56th Ave W, Lynnwood, WA 98036-7650 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| 1841658432 | Christopher K. Wakely | Naturopath | 19217 36th Ave W.bbuilding 5 Suite 106, Lynwood, WA 98036 | 2016-02-10 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740753854 | Bridgette Jeffries | Nurse Practitioner | 4610 200th St Sw Ste K, Lynnwood, WA 98036-6606 | 2019-01-11 |
| 1295396166 | Restoration Mental Health Services, LLC | Nurse Practitioner | 4610 200th St Sw Ste K, Lynnwood, WA 98036-6606 | 2019-06-21 |
| 1265875900 | Sarah Elizabeth Guy Woodall | Nurse Practitioner | 19401 40th Ave W, Suite 207, Lynnwood, WA 98036-4612 | 2013-04-11 |
| 1770889289 | Erin Elizabeth Kessler | Nurse Practitioner | 19707 44th Ave W, Suite 101, Lynnwood, WA 98036-6757 | 2011-01-31 |
| 1649573973 | Erika Marie Giraldo | Nurse Practitioner | 19109 36th Ave W, #209, Lynnwood, WA 98036-5767 | 2010-12-08 |
| 1396996039 | Melissa Marlene Turner | Nurse Practitioner | 19031 33rd Ave W, Suite 303, Lynnwood, WA 98036-4731 | 2008-09-30 |
| 1689619421 | Linda Rose Ciaramitaro | Nurse Practitioner | 4807 196th St Sw, Lynnwood, WA 98036-6430 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
| 1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
| 1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
| 1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.