MS. MARY ELIZABETH RUTHERFORD (NPI# 1265540850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265540850 |
| Entity Type | Individual |
| Full Name | MS. MARY ELIZABETH RUTHERFORD |
| Credential | APRN, BC |
| Practice Address |
1820 Memorial Drive Suite 101 Clarksville TN 37043-4693 |
| Mailing Address |
1820 Memorial Drive Suite. 101 Clarksville TN 37043-4693 |
| Practice Telephone | 9315534161 |
| Practice Fax Number | 9315534161 |
| Mailing Telephone | 9315534161 |
| Mailing Fax Number | 9315534176 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
APRN7209 | TN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARPN7209 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3908530 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 4104879 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770758484 | Mary Claire Rutherford | Nurse Practitioner | 11120 Gravelly Lake Dr Sw Ste 10, Lakewood, WA 98499-1351 | 2008-04-23 |
| 1326269572 | Mary Hooton Rutherford | Social Worker | 3205 Whitepine, Austin, TX 78757 | 2007-05-02 |
| 1477516797 | Mary Elizabeth Rutherford | Emergency Medicine | 4100 Mcclellan Blvd, Anniston, AL 36201-2132 | 2006-04-08 |
| 1245572148 | Mary Dianne Rutherford | Registered Nurse | 100 Blassingame Rd, Greenville, SC 29605-3304 | 2013-03-19 |
| 1043598436 | Mary E Rutherford | Chiropractor | 245 Prior Ave N, Saint Paul, MN 55104-5163 | 2011-08-02 |
| 1861668873 | Mary Samuel Rutherford | Nurse Practitioner | 100 Washington Ave, Evansville, IN 47713-1521 | 2008-04-30 |
| 1407932676 | Mary Workman Rutherford | Pediatrics | 747 52nd St, Childrens Hospital Oakland Emergency Department, Oakland, CA 94609-1809 | 2006-10-31 |
| 1366535767 | Mary A Rutherford | Social Worker | 710 Oakfield Dr, Suite 159, Brandon, FL 33511-4938 | 2006-09-30 |
| 1538184528 | Mary Catherine Rutherford | Family Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2006-07-12 |
| Street Address |
1820 MEMORIAL DRIVE SUITE 101 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-4693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1760878474 | Candise Belmont | Nurse Practitioner | 103 Jefferson St Ste 100, Clarksville, TN 37040 | 2015-04-09 |
| 1114536539 | Clarity Mental Health Plc | Nurse Practitioner | 1820 Haynes St, Clarksville, TN 37043-4547 | 2020-07-31 |
| 1104443308 | Abigail Randall | Nurse Practitioner | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2020-07-03 |
| 1336765411 | Kayla Renee Mcmanus | Nurse Practitioner | 900 Professional Park Dr, Clarksville, TN 37040-5244 | 2020-06-24 |
| 1235762774 | Jill Standley | Nurse Practitioner | 915 Mcclardy Rd, Clarksville, TN 37042-6734 | 2020-02-12 |
| 1710529136 | Stacy Dycus | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2019-10-17 |
| 1992354476 | Megan Jean Zamora | Nurse Practitioner | 143 Industrial Pkwy, Clarksville, VA 23927-3140 | 2019-09-08 |
| 1194235184 | Elizabeth Kathleen Burton | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2017-10-04 |
| 1992225874 | Marsha Walker | Nurse Practitioner | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2017-06-22 |
| 1124560784 | Sarah Elizabeth Lizotte | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2016-11-14 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on MS. MARY ELIZABETH RUTHERFORD.
| 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.