Active NPI
Todd Rutkin, MS, CNS, LDN
- Nutritionist
- Pennsburg, PA
National Provider Identifier
1265969679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DN006106
- Practice address
- 200 Seminary St
Pennsburg, PA 18073-1815 - Phone
- (415) 574-0847
- NPI assigned
- May 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DN006106 | PA | Primary |
Addresses
Primary practice location
200 Seminary St
Pennsburg, PA 18073-1815
Mailing address
200 Seminary St
Pennsburg, PA 18073-1815
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
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN006106 | PA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494892800000",
"number": "1265969679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SEMINARY ST",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180731815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SEMINARY ST",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180731815",
"telephone_number": "415-574-0847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTKIN",
"first_name": "TODD",
"credential": "MS, CNS, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-16",
"last_updated": "2017-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PA",
"license": "DN006106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pennsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.