Organization Active NPI

Rutherford Perinatal Associates PLLC

  • Maternal & Fetal Medicine Physician
  • Brentwood, TN
National Provider Identifier
1144655853
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD44564 Issued in TN
Legal business name
RUTHERFORD PERINATAL ASSOCIATES PLLC
Practice address
9204 Sheridan Park CT
Brentwood, TN 37027-1748
Phone
(613) 957-9027
NPI assigned
Sep 12, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Kathleen Mayor-Lynn, MD
Title
Physician/Owner
Phone
(615) 957-9027

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X MD44564 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

9204 Sheridan Park CT
Brentwood, TN 37027-1748

Mailing address

9204 Sheridan Park CT
Brentwood, TN 37027-1748
Phone (613) 957-9027

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1510618MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2013.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1144655853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 SHERIDAN PARK CT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271748",
            "telephone_number": "613-957-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 SHERIDAN PARK CT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271748",
            "telephone_number": "613-957-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD PERINATAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "MAYOR-LYNN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "615-957-9027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "MD44564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510618",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.