Cheryl Ann Rutherford-Ngoto

Primary specialty

SpecialistTaxonomy code 174400000X

License

107031 Issued in GA

Practice address

6702 Treehills Pkwy
Stone Mountain, GA 30088-4605

Phone

(404) 914-1777

NPI assigned

Jul 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1033422605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941692",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311410692",
            "telephone_number": "404-914-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 TREEHILLS PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300884605",
            "telephone_number": "404-914-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD-NGOTO",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "107031",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "107031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA PROFESSIONAL CERTIFICATION",
            "identifier": "107031",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruppage Dona Shamila Manik Rupasinghe
• Subrina Leontine Rush, LPC
• Labrea Russell, LAPC
• Lekel A Russell
• Ruth'S Compassionate Care, LLC
• RX Healthcare LTD
• S & S Medical Management, Services, Inc.
• Michael Sabatelle, ATC
• Hussen Sadik
• Mupenzi Evans Safari

• Specialist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.