VANESSA RUTLEDGE (NPI# 1295215531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295215531 |
| Entity Type | Individual |
| Full Name | VANESSA RUTLEDGE |
| Practice Address |
830 Copperhead Cir St Augustine FL 32092-2752 |
| Mailing Address |
440 Sw Perimeter Gln Lake City FL 32025-0497 |
| Practice Telephone | 9043156539 |
| Mailing Telephone | 3867199663 |
| Mailing Fax Number | 8663002394 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9351938 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
830 COPPERHEAD CIR |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801394291 | Peter Richard Accorti | Nurse Practitioner | 3657 Gaines Rd, St Augustine, FL 32084-8503 | 2018-01-31 |
| 1033300280 | Allied Medical Professionals Inc | Nurse Practitioner | 121 Fonseca Dr, St Augustine, FL 32086-8867 | 2007-08-05 |
| 1942412481 | Anah Marks | Nurse Practitioner | 301 Health Park Blvd Ste 219, St Augustine, FL 32086-5795 | 2007-05-04 |
| 1255311528 | Judith Lynn Nichols | Nurse Practitioner | 105 Mariner Way, Ste 203, St Augustine, FL 32086 | 2006-01-20 |
| 1336706779 | Shawn Rene Wells | Nurse Practitioner | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2019-05-21 |
| 1841759255 | Monica Antigua | Nurse Practitioner | 2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 | 2019-03-15 |
| 1295216414 | Ashley Baldwin Sauls | Nurse Practitioner | 419 Anastasia Blvd, St Augustine, FL 32080-4508 | 2018-08-25 |
| 1780161851 | Christine Moore | Nurse Practitioner | 300 Health Park Blvd Ste 5010, St Augustine, FL 32086-3705 | 2018-07-23 |
| 1710480900 | Christina Ellen Barr | Nurse Practitioner | 1 Saint Johns Medical Park Dr, St Augustine, FL 32086-5300 | 2018-03-14 |
| 1396117693 | Sonia Rae Reisdorf | Nurse Practitioner | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2015-10-26 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
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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.