Nadiya Rutman, RN BSN/ CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2306741 Issued in MA

Practice address

235 Woodland N
Lynn, MA 01904-1414

Phone

(781) 632-8080

NPI assigned

Feb 2, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Nurse Practitioner, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: nadiya.rutman.p1@direct.elementcare.nextgenshare.com

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1215475918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GRACIE LN UNIT 2",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072357",
            "telephone_number": "781-632-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WOODLAND N",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041414",
            "telephone_number": "781-632-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019702702",
            "country_code": "US",
            "telephone_number": "781-244-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTMAN",
        "first_name": "NADIYA",
        "credential": "RN BSN/ CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2306741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMHNP CERTIFICATE",
            "identifier": "2023124352",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Rupert
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• Kimberly Rae Ryan
• Michael T. Ryan III, D.C.

• Nurse Practitioner in Lynn, MA
• Providers in Lynn, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.