Thomas Caleb Rutan, CNS

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

529 Issued in NC

Practice address

3000 New Bern Ave
Raleigh, NC 27610-1231

Phone

(919) 350-8000

NPI assigned

Sep 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1154091577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 COBBLEBROOK CT",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405940",
            "telephone_number": "919-638-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTAN",
        "first_name": "THOMAS",
        "middle_name": "CALEB",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "NC",
            "license": "529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Russell, MSW, LCSW-A
• Justin Russo, D.D.S.
• Mary Beth Russo, MS, OTR/L
• Graciela Aires Rust, LCMHC, CRC, IWLC
• Oxana Rusu
• Ruth Burnett
• Ruth Sheets Adult Care Center
• Christopher Ruth
• Edmund J Rutherford, MD
• Leighann Farrow Rutkowsky, B.A., CADC

• Acute Care Clinical Nurse Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Acute Care Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.