Kristi Michelle Rutherford, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

PENDING Issued in TN

Practice address

212 Phoenix CT Ste 1
Seymour, TN 37865-3908

Phone

(865) 577-6475

Fax

(865) 577-7942

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristi Ledlow Rutherford Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Central Pediatrics, Inc.

  • Primary Care Clinic/Center
  • Oak Ridge, TN
  • NPI 1609906676
  NPD (past)
• Kids Choice Pediatrics PLLC

  • Pediatrics Physician
  • Seymour, TN
  • NPI 1730293259
  NPD (past)
• Pediatric Consultants of Lenoir City

  • Legal Medicine
  • Lenoir City, TN
  • NPI 1992940761
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1003381484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PHOENIX CT STE 1",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653908",
            "telephone_number": "865-577-6475",
            "fax_number": "865-577-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PHOENIX CT STE 1",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653908",
            "telephone_number": "865-577-6475",
            "fax_number": "865-577-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "KRISTI",
        "middle_name": "MICHELLE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "RUTHERFORD",
            "middle_name": "LEDLOW",
            "credential": "CPNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rhett Joseph Rousseau, PA-C
• Garrett Rowe, MD
• Susan Rowlett
• Maria F Rueda, MD
• Dianna Marie Russell, BS
• Kara Jane Rymar
• Madison Alexandria Schantz, MS, CCC-SLP
• Holli Christine Schoonover, CERTIFIED ATHLETIC T
• Amy Seal, APRN-PMHNP
• Jason Scott Seaton, M.ED., LAT, ATC

• Pediatric Nurse Practitioner in Seymour, TN
• Providers in Seymour, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.