KYLIE RHEA RUTHERFORD (NPI# 1780116129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780116129 |
Entity Type | Individual |
Full Name | KYLIE RHEA RUTHERFORD |
Credential | PA |
Practice Address |
1411 N Beckley Ave Pavillion IIi, Suite 152 Dallas TX 75203-1259 |
Mailing Address |
347 Partridge Run Dr Duncanville TX 75137-3142 |
Practice Telephone | 2149482076 |
Mailing Telephone | 2142056435 |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10906 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1411 N BECKLEY AVE PAVILLION III, SUITE 152 |
City | DALLAS |
State | TX |
Zip Code | 75203-1259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760481246 | Sarah Lynn Helfand | Pediatrics | 1411 N Beckley Ave, Suite 164, Dallas, TX 75203-1259 | 2005-07-18 |
1003321936 | Kathleen Ubina | Pharmacist | 1411 N Beckley Ave, Dallas, TX 75203-1259 | 2017-12-14 |
1245743624 | Whitney Lee Mcclung | Nurse Practitioner | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203 | 2017-11-08 |
1437695863 | Lisa Montgomery | Nurse Practitioner | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 | 2017-01-09 |
1477916922 | Jillian Robinson | Physician Assistant | 1411 N Beckley Ave, Suite 363, Dallas, TX 75203-1259 | 2016-04-01 |
1720445638 | Head & Neck Surgery of North Texas Pllc | Oral & Maxillofacial Surgery | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 | 2016-01-22 |
1316322423 | Kelley Lynn Hanna | Nurse Practitioner | 1411 N Beckley Ave, Pavillion 3 Ste 152, Dallas, TX 75203-1259 | 2015-07-30 |
1063896520 | Pinnacle Anesthesia Consultants, Pllc | Anesthesiology | 1411 N Beckley Ave, Pav. IIi, Suite 152, Dallas, TX 75203-1259 | 2015-07-15 |
1306228291 | Sarah Breanne Smith | Nurse Practitioner | 1411 N Beckley Ave, Pav IIi Ste#152, Dallas, TX 75203 | 2015-06-26 |
1548654528 | Bryan Michael Duffin | Podiatrist | 1411 N Beckley Ave, Dallas, TX 75203-1259 | 2015-03-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
Find all providers in zip 75203 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326691957 | Kourtney Marie Willett | Physician Assistant | 1411 N Beckley Ave Pav 3 Suite 363, Dallas, TX 75203-1259 | 2019-07-23 |
1003302944 | Amk Provider Solutions Pllc | Physician Assistant | 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 | 2018-07-03 |
1184136632 | Pa Solutions, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 | 2017-10-24 |
1528589918 | Operator Assistants, LLC | Physician Assistant | 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 | 2017-07-06 |
1447603683 | Exos Surgical Assist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 | 2016-07-22 |
1871941419 | Premier Physician Surgical Associates, Pllc | Physician Assistant | 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 | 2016-05-24 |
1144686452 | Clara Joplin | Physician Assistant | 10830 N. Central Expy. Suite 120, Dallas, TX 75231-1050 | 2016-01-04 |
1689057820 | Horizon Pa Services, Pllc | Physician Assistant | 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 | 2015-07-07 |
1942681572 | Ridgeback Assist, Pllc | Physician Assistant | 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 | 2015-06-09 |
1164802385 | Kris Holmes Pa Pllc | Physician Assistant | 740 Peavy Rd, Dallas, TX 75218-2149 | 2015-06-03 |
Find all providers in DALLAS |
Please comment or provide details below to improve the information on KYLIE RHEA 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.