Katlin C. Rutherford, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71005822A Issued in IN

Practice address

207 S Lebanon St
Lebanon, IN 46052-2544

Phone

(765) 482-3630

NPI assigned

Aug 30, 2015

Last updated

Aug 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597449600000",
    "number": "1083081657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522544",
            "telephone_number": "765-482-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522544",
            "telephone_number": "765-482-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "KATLIN",
        "middle_name": "C.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-30",
        "last_updated": "2020-08-15",
        "certification_date": "2020-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005822A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28173611A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Rogers, RBT
• Whitney Renee Rojas, MSW
• Caitlyn Rosario, RBT
• Kimberly Rosenblum, RBT
• Darrah Roys
• Megan Ruvolo, MSW,LCSW
• John Jacob Saalwaechter, M.D.
• Tracy Dirk Sapp, D.D.S.
• Mojgan Sarmadi, M.D.
• Chase Sasin, RBT

• Family Nurse Practitioner in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2020; 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.