Holly Rusch, CPM-TN

Primary specialty

MidwifeTaxonomy code 176B00000X

License

151 Issued in TN

Practice address

6245 Vance Rd Ste 101
Chattanooga, TN 37421-4836

Phone

(678) 923-9399

Fax

(423) 558-2377

NPI assigned

Apr 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1245086008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 COWART MOUNTAIN TRL",
            "city": "WALESKA",
            "state": "GA",
            "postal_code": "301832240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 VANCE RD STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214836",
            "telephone_number": "678-923-9399",
            "fax_number": "423-558-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCH",
        "first_name": "HOLLY",
        "credential": "CPM-TN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TN",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Winfred Ruffner, MD
• Martha Katherine Rumble, PMHNP
• Thomas C Rumph, DMD
• Jessica Leigh Runyan, LMT
• Heather Runyon, LPC
• Kim Rush, L.P.C.
• Richard Allen Rush, DMD
• Tullia Rushton
• Britta Ann Rusk, RD, CDE
• Aaron Walter Russak, D.C.

• All providers in Chattanooga, TN
• Midwife in Tennessee

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