Active NPI
Jessica Rutherford
- Personal Care Attendant
- Orient, OH
National Provider Identifier
1154927333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 4901782
- Practice address
- 11831 London Rd
Orient, OH 43146-9194 - Phone
- (614) 462-9724
- NPI assigned
- Dec 11, 2020
- Last updated
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 4901782 | OH | Primary |
| In Home Supportive Care Agency | 253Z00000X | 4901782 | OH |
Addresses
Primary practice location
11831 London Rd
Orient, OH 43146-9194
Mailing address
11831 London Rd
Orient, OH 43146-9194
Phone (614) 462-9742
Other practice location 1
7449 W Broad St
Galloway, OH 43119-8687
Phone (614) 462-9724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901782 | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1154927333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11831 LONDON RD",
"city": "ORIENT",
"state": "OH",
"postal_code": "431469194",
"telephone_number": "614-462-9742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11831 LONDON RD",
"city": "ORIENT",
"state": "OH",
"postal_code": "431469194",
"telephone_number": "614-462-9724"
}
],
"practiceLocations": [
{
"address_1": "7449 W Broad St",
"address_purpose": "LOCATION",
"city": "Galloway",
"state": "OH",
"postal_code": "431198687",
"country_code": "US",
"telephone_number": "614-462-9724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "4901782",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": "4901782",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orient, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.