Jalyn Rutledge

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

61088729 Issued in WA

Practice address

Bohler Athletic Complex Cougar Way - Wsu
Pullman, WA 99164-0001

Phone

(800) 462-6847

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1164039079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641602P",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991641602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOHLER ATHLETIC COMPLEX COUGAR WAY - WSU",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991640001",
            "telephone_number": "800-462-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "JALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "61088729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Coretex",
            "affiliation": "N",
            "endpointDescription": "Secure Messaging Application",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Bohler Athletic Complex Cougar Way - Wsu",
            "city": "Pullman",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991640001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessie Rozario, MATRN, ATC
• Cheryl Lynn Rudd, P.T., D.P.T.
• Cora Rude
• James D Ruggio, CDP
• Barbara Ann Russell, ATC
• Donald Christian Sachs Jr., PHARMD
• Chirs Sader
• Safeway Inc
• Lynn Sakamoto, CRNFA
• Amber Sanchez, LMP

• Athletic Trainer in Pullman, WA
• Providers in Pullman, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.