Carrie Dee Rutledge-Spencer, LEP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

1305 E Vine St
Lodi, CA 95240-3179

Phone

(209) 953-8324

NPI assigned

May 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1245070051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E VINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403179",
            "telephone_number": "209-331-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E VINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403179",
            "telephone_number": "209-953-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE-SPENCER",
        "first_name": "CARRIE",
        "middle_name": "DEE",
        "credential": "LEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan M Royce, P.T.
• Vanessa Rubi
• Jackelin Chavez Rueda
• Mary Elizabeth Ruiz, AMFT
• Alecia Nicole Russell, D.O.
• Abdollah A. Sabet, MD
• Leslie D Sackschewsky, MD
• Paul J Sackschewsky, MD
• Azin Rafieid Saeidi, PHARMD
• Lou Fin Saetern, PTA

• School Psychologist in Lodi, CA
• Providers in Lodi, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.