ROBERT RUTHERFORD (NPI# 1427461755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427461755 |
| Entity Type | Individual |
| Full Name | ROBERT RUTHERFORD |
| Credential | NP |
| Practice Address |
105 W Stone Dr Ste 1f Kingsport TN 37660 |
| Mailing Address |
Po Box 9 Kingsport TN 37662-0009 |
| Practice Telephone | 4232302420 |
| Mailing Telephone | 4238572093 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 162686 | TN | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024171932 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18817 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 Medical Park Blvd Ste 1700, Bristol, TN 376207348 | 4239902466 | |
| 2686 W State St, Bristol, TN 376201817 | 4234087220 | 4234087405 |
| 617 Campus Dr, Abingdon, VA 242109700 | 2766763870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235391079 | Robert Rutherford | Emergency Medicine | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2008-07-01 |
| 1699890988 | Robert Carver Rutherford | Emergency Medicine | 6 Tarman Dr, Cloverdale, CA 95425-3932 | 2007-03-19 |
| 1831270669 | Robert E. Rutherford | Family Medicine | 104 W 5th Ave, Suite 200w, Spokane, WA 99204-4880 | 2006-10-18 |
| Street Address |
105 W STONE DR STE 1F |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750498929 | Deborah E. Lecraw | Emergency Medicine | 105 W Stone Dr Ste 1f, Kingsport, TN 37660-3365 | 2006-08-24 |
| 1972142529 | Macy Cox | Nurse Practitioner | 105 W Stone Dr Ste 1f, Kingsport, TN 37660-3365 | 2019-12-30 |
| 1396256004 | Angela Millican | Nurse Practitioner | 105 W Stone Dr Ste 1f, Kingsport, TN 37660-3365 | 2017-10-20 |
| 1831622273 | Robyn Ashley Long | Emergency Medicine | 105 W Stone Dr Ste 1f, Kingsport, TN 37660-3365 | 2017-04-04 |
| 1033524970 | Suzanne C. Dargan | Registered Nurse | 105 W Stone Dr Ste 1f, Kingsport, TN 37660 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911202 | Felicia Grace Berry | Nurse Practitioner | 2204 Pavilion Dr Ste 210, Kingsport, TN 37660-4652 | 2020-01-23 |
| 1205399508 | Michael David Thacker | Nurse Practitioner | 100 Clinchfield St, Kingsport, TN 37660-3681 | 2019-04-12 |
| 1871058263 | Lisa Marie Ketchem | Nurse Practitioner | 5039 Andrew St, Kingsport, TN 37660-6500 | 2019-02-10 |
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1720542376 | Amanda Michelle Oliver | Nurse Practitioner | 404 Manor Dr Apt F, Kingsport, TN 37660-3471 | 2019-01-29 |
| 1750857439 | Ashlee Fleming | Nurse Practitioner | 105 W Stone Dr Ste 4c, Kingsport, TN 37660-3365 | 2018-10-19 |
| 1497220214 | Melanie Creppel Bourgeois | Nurse Practitioner | 4606 Sundown Dr, Kingsport, TN 37664-6913 | 2018-10-08 |
| 1013493147 | Cathy A Greenwood | Nurse Practitioner | 3136 Winesap Rd, Kingsport, TN 37663-2920 | 2018-07-11 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1235641630 | Bethany Monique Rock | Nurse Practitioner | 3716 Thorngrove Dr, Kingsport, TN 37660-2243 | 2017-10-26 |
| Find all providers in KINGSPORT | ||||
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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.