Individual provider Active NPI

Jacqueline Kay Rutherford, NP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1205122249
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-076446 Issued in AL
Practice address
1874 Beltline Rd SW
Decatur, AL 35601-5514
Phone
(256) 355-1518
NPI assigned
Jun 28, 2011
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-076446 AL Primary

Addresses

Primary practice location

1874 Beltline Rd SW
Decatur, AL 35601-5514

Mailing address

1249 County Road 825
Logan, AL 35098-1440
Phone (256) 747-4281

Other practice location 1

1958 AL Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000371 AL Practitioner - Nurse Practitioner 4587832472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Medical Alabama LLCGroup PAC ID 3072682103, 24 clinicians
CRMC Medical Group LLCGroup PAC ID 8729419874, 81 clinicians

Practice addresses (Care Compare)

1912 Al Hwy 157
Cullman, AL 35058-0609
Phone (240) 686-2300

1958 Al Hwy 157
Cullman, AL 35058-0609
Phone (256) 737-2298

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-076446ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Island Medical Alabama LLC CurrentSince Jun 23, 2019 Accepting new patients
CRMC Medical Group LLC Current Accepting new patients
CRMC Medical Group LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1930 AL Highway 157
Cullman, AL 35058
Phone (256) 734-7850

1958 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2090

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1205122249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 COUNTY ROAD 825",
            "city": "LOGAN",
            "state": "AL",
            "postal_code": "350981440",
            "telephone_number": "256-747-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-355-1518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1958 AL Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580609",
            "country_code": "US",
            "telephone_number": "256-737-2090",
            "fax_number": "256-737-2091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "JACQUELINE",
        "middle_name": "KAY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-076446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.