Stephen Clark Rutledge, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P-1685 Issued in TN

Practice address

9123 Pleasant LN
Ooltewah, TN 37363-6248

Phone

(731) 377-0088

NPI assigned

Nov 28, 2007

Last updated

Jan 13, 2022By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIAIDD

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.

• Thrive Family Healthcare, PLLC

  dba Thrive Family Healthcare

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1336938059
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1285816694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 PLEASANT LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636248",
            "telephone_number": "731-377-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 PLEASANT LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636248",
            "telephone_number": "731-377-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "STEPHEN",
        "middle_name": "CLARK",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P-1685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Romero, CRNA
• Elyse Ros, MSN,PMHNP-BC,RN,CCRN
• Fred Franklin Ross III, DPH
• Janice Tuers Roy, PTA
• Jonathan William Ruminson, D.D.S.
• Luis A Sanabria, MD
• Jonathan Sanchez, FNP
• William Sanders
• Sarli Nutrition
• Dorothea Sarli, RD

• Psychologist in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.