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LAKEWOOD WELLNESS CLINIC
NPI 1134764509
Nurse Practitioner - Psychiatric/Mental Health in Lakewood, WA

Active since November 08, 2019
10310 GRAVELLY LAKE DR SW STE B, LAKEWOOD, WA 98499(253) 888-3405 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2019, Nov 8, 2019 (2 updates tracked since 2019).

About Lakewood Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEWOOD WELLNESS CLINIC (NPI 1134764509) is a healthcare organization registered as a psychiatric/mental health in Lakewood, Washington and active in the NPI registry since November 2019. The organization lists Jennifer Rubio, Owner, as its authorized official.

NPPES Registry Identity

NPI1134764509
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAKEWOOD WELLNESS CLINIC
Location Address10310 GRAVELLY LAKE DR SW STE BLakewood, WA 98499-5014
Mailing Address10310 Gravelly Lake Dr Sw Ste BLakewood, WA 98499-5014 · (253) 888-3405
Phone(253) 888-3405
Organization SubpartNo
Authorized OfficialJennifer RubioOwner · (253) 208-3179
Enumeration DateNovember 8, 2019
Last NPPES UpdateNovember 21, 20192 updates tracked since enumeration
✔ NPI 1134764509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
10310 GRAVELLY LAKE DR SW STE B, Lakewood, WA 98499
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN BENJAMIN RUBIO MHP
Counselor (Mental Health)
10310 GRAVELLY LAKE DR SW STE B
LAKEWOOD, WA 98499
Pierce County (253) 888-3405
MRS. JENNIFER RUBIO DNP, ARNP
Nurse Practitioner (Psychiatric/Mental Health)
10310 GRAVELLY LAKE DR SW STE B
LAKEWOOD, WA 98499
Pierce County (253) 888-3405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakewood Wellness Clinic's NPI number?

The NPI number for Lakewood Wellness Clinic is 1134764509. It was assigned to this organization in the NPPES registry on November 8, 2019.

Where is Lakewood Wellness Clinic located?

Lakewood Wellness Clinic is located at 10310 Gravelly Lake Dr SW Ste B, Lakewood, WA 98499. The listed phone number is (253) 888-3405.

What is Lakewood Wellness Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lakewood Wellness Clinic was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.