Individual provider Active NPI

Jessica Rutherford

  • Personal Care Attendant
  • Orient, OH
National Provider Identifier
1154927333
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
4901782 Issued in OH
Practice address
11831 London Rd
Orient, OH 43146-9194
Phone
(614) 462-9724
NPI assigned
Dec 11, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4901782OHMDPersonal 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.

Verify at the official NPI Registry.