Individual provider Active NPI

Luana Louise Rutherford, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1194287391
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
224024 Issued in AZ
Practice address
41705 N Club Pointe Dr
Phoenix, AZ 85086-1961
Phone
(520) 334-0041
NPI assigned
Apr 5, 2019
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 224024 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0002125-C-NP CO

Addresses

Primary practice location

41705 N Club Pointe Dr
Phoenix, AZ 85086-1961

Mailing address

7661 N Bellwether Dr
Tucson, AZ 85743-8617
Phone (520) 334-0941

Other practice location 1

14040 N Cave Creek Rd Ste 205
Phoenix, AZ 85022-6179
Phone (602) 358-7073

Other practice location 2

203 S Candy Ln Ste 6Ab
Cottonwood, AZ 86326-4120
Phone (602) 358-7073

Other practice location 3

501 S Cherry St Ste 820
Denver, CO 80246-1325
Phone (702) 589-4871

Other practice location 4

1304 N Academy Blvd Ste 201
Colorado Springs, CO 80909-3318
Phone (719) 465-2388

Other practice location 5

123 E Baseline Rd
Tempe, AZ 85283-1270
Phone (480) 718-0568

Other practice location 6

4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone (970) 494-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191227000395 AZ Practitioner - Nurse Practitioner 4082048038 Reassigns benefits to 4 organizations
I20220725001658 CO Practitioner - Nurse Practitioner 4082048038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
224024AZMDPsychiatric/Mental Health Nurse Practitioner
C-APN.0002125-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health & Wellness Inc Psychiatric/Mental Health CurrentSince Jan 27, 2026 Accepting new patients
Rutherford Pmhnp-BC PLLC Psychiatric/Mental Health CurrentSince Apr 29, 2025 Accepting new patients
Teris Health Services LLC Psychiatric/Mental Health CurrentSince Dec 1, 2020 Accepting new patients
Sonora Behavioral Health Hospital, LLC CurrentSince Dec 4, 2019 Accepting new patients
Happy Home Care CurrentSince Jan 27, 2026 Accepting new patients
Sonora Behavioral Health Hospital, LLC Current Accepting new patients
Teri's Health Services CurrentSince Sep 15, 2021 Accepting new patients
Rutherford Pmhnp-BC PLLC Psychiatric/Mental Health CurrentSince Jun 13, 2023 Accepting new patients
Phoenix Oasis Recovery Homes Inc. Past Accepting new patients

Locations

115 S Candy Ln
Ste 115C2
Cottonwood, AZ 86326
Phone (602) 358-7073

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

4550 N Black Canyon Hwy
Phoenix, AZ 85017
Phone (480) 626-9501

6050 N Corona Rd
Tucson, AZ 85704
Phone (520) 469-8100

Interoperability endpoints

  • Direct secure messaging: luana.rutherford.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1194287391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 N BELLWETHER DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857438617",
            "telephone_number": "520-334-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41705 N CLUB POINTE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850861961",
            "telephone_number": "520-334-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14040 N Cave Creek Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226179",
            "country_code": "US",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Candy Ln Ste 6Ab",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264120",
            "country_code": "US",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Cherry St Ste 820",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461325",
            "country_code": "US",
            "telephone_number": "702-589-4871",
            "fax_number": "702-589-4872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 N Academy Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809093318",
            "country_code": "US",
            "telephone_number": "719-465-2388",
            "fax_number": "888-975-4491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 E Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831270",
            "country_code": "US",
            "telephone_number": "480-718-0568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4856 Innovation Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805255539",
            "country_code": "US",
            "telephone_number": "970-494-4200",
            "fax_number": "844-270-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "LUANA",
        "middle_name": "LOUISE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "224024",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0002125-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.