Individual provider Active NPI

Joy Ellen Rutherford, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Oak Harbor, WA
National Provider Identifier
1235151531
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00003509 Issued in WA
Practice address
390 NE Midway Blvd
Suite B-101
Oak Harbor, WA 98277
Phone
(360) 679-4211
Fax
(360) 279-2545
NPI assigned
Jul 24, 2006
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00003509 WA Primary

Addresses

Primary practice location

390 NE Midway Blvd
Suite B-101
Oak Harbor, WA 98277

Mailing address

390 NE Midway Blvd Ste B202
Oak Harbor, WA 98277-2680
Phone (360) 279-8220

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LL00003509WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Bubbles, LLC Speech-Language Pathologist Current Accepting new patients
Island Speech Language & Rehabilitation, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

390 NE Midway Blvd
Ste B202
Oak Harbor, WA 98277
Phone (360) 279-8220

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1235151531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE MIDWAY BLVD STE B202",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772680",
            "telephone_number": "360-279-8220",
            "fax_number": "360-279-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE MIDWAY BLVD",
            "address_2": "SUITE B-101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-679-4211",
            "fax_number": "360-279-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "JOY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.