Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keondra Martinique Rustan, PMHNP-DNP, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699495929

Dr. Keondra Martinique Rustan, PMHNP-DNP, PHD is a Student in an Organized Health Care Education/Training Program in Seattle, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Seattle, WA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 3116 164th St Sw Apt 1406, Lynnwood, WA 98087-3250 — (760) 895-5514

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence ARNP.AP.70007587-NP (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699495929
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-DNP , PHD
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Other providers in Seattle