NPIMap

Individual provider Active NPI

Kristin L Rutherford, FNP

  • Nurse Practitioner
  • Oneida, NY
National Provider Identifier
1134448459
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
336386 Issued in NY
Practice address
603 Seneca St
Ste 2
Oneida, NY 13421-2653
Phone
(315) 361-1041
Fax
(315) 361-1044
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 336386 NY Primary

Addresses

Primary practice location

603 Seneca St
Ste 2
Oneida, NY 13421-2653

Mailing address

603 Seneca St
Ste 2
Oneida, NY 13421-2653
Phone (315) 361-1041

Other identifiers 1

IdentifierTypeStateIssuer
03241912MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000845 NY Practitioner - Nurse Practitioner 4284813346 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneida Health Systems IncGroup PAC ID 5395794713, 28 clinicians

Practice addresses (Care Compare)

321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000

323 Genesee St
Oneida, NY 13421-2611
Phone (315) 361-2119

Hospital & facility affiliations

  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Health Systems, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Oneida Health Systems, Inc Current Accepting new patients
Department of Medicine Medical Service Group CurrentSince Jan 3, 2012 Accepting new patients
MVHS Inc CurrentSince Dec 28, 2021 Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Jan 3, 2012 Accepting new patients
MVHS Inc CurrentSince Dec 28, 2021 Accepting new patients
Upstate Family and Preventive Medicine, Inc PastSince Mar 5, 2016 Accepting new patients
Family Medicine Medical Service Group PastSince Jul 23, 2015 Accepting new patients

Locations

603 Seneca St
Ste 2
Oneida, NY 13421
Phone (315) 361-1041

131 Main St
Oneida, NY 13421
Phone (315) 366-0360

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

604 Seneca St
Oneida, NY 13421
Phone (315) 361-2381

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Organizations & group practices 8

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1134448459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 SENECA ST",
            "address_2": "STE 2",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212653",
            "telephone_number": "315-361-1041",
            "fax_number": "315-361-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SENECA ST",
            "address_2": "STE 2",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212653",
            "telephone_number": "315-361-1041",
            "fax_number": "315-361-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "336386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03241912",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.