THE RUTHERFORD MEDICAL CLINIC LLC (NPI# 1972772242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972772242 |
| Entity Type | Organization |
| Organization Name | THE RUTHERFORD MEDICAL CLINIC LLC |
| Practice Address |
104 E Main St Rutherford TN 38369-9711 |
| Mailing Address |
Po Box 370 Rutherford TN 38369-0370 |
| Practice Telephone | 7316657741 |
| Practice Fax Number | 7316657750 |
| Mailing Telephone | 7316657741 |
| Mailing Fax Number | 7316657750 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | RUSSELL E LITTLE (PROVIDER/OWNER) |
| Authorized Official Telephone | 7316657741 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5442152 | 05 |
| Street Address |
104 E MAIN ST |
| City | RUTHERFORD |
| State | TN |
| Zip Code | 38369-9711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104992544 | Thomas H Nelson Md | Emergency Medicine | 104 E Main St, Rutherford, TN 38369-9711 | 2006-11-28 |
| 1962456061 | Russell E Little | Nurse Practitioner | 104 E Main St, Rutherford, TN 38369-9711 | 2006-05-22 |
| 1417901794 | Thomas Nelson | Family Medicine | 104 E Main St, Rutherford, TN 38369-9711 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164874079 | Casey Oliver | Pharmacist | 114 E Main St, Rutherford, TN 38369-9711 | 2016-07-05 |
| 1235283813 | Candace Clanton Mccaig | Pharmacist | 114 E Main St, Rutherford, TN 38369-9711 | 2007-01-22 |
| 1427060227 | Bill H Hester | Pharmacist | 114 E Main St, Rutherford, TN 38369-9711 | 2006-08-12 |
| 1760494470 | Hester Drug Company | Pharmacy | 114 E Main St, Rutherford, TN 38369-9711 | 2006-08-12 |
| 1427048156 | Amy Theriac Duncan | Dentist | 608 S Trenton St, Rutherford, TN 38369-9715 | 2005-10-25 |
| 1013190149 | Creative Smiles Family Dentistry | Clinic/Center | 608 S Trenton St, Rutherford, TN 38369-9715 | 2007-12-12 |
| 1548829203 | Bethany Turner | Physical Therapy Assistant | 102 S Trenton St, Rutherford, TN 38369-9728 | 2019-06-06 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720323520 | Monica E Sampedro | Nurse Practitioner | 155 Union Ave Apt 110, Rutherford, NJ 07070-3525 | 2012-12-05 |
| 1902862543 | Ellery Tarife | Nurse Practitioner | 13 Hobart Ave, Rutherford, NJ 07070-1405 | 2006-04-22 |
| 1962456061 | Russell E Little | Nurse Practitioner | 104 E Main St, Rutherford, TN 38369-9711 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD |
| Zip Code | 38369 |
Please comment or provide details below to improve the information on THE RUTHERFORD MEDICAL CLINIC LLC.
| 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.