Beverly A Rutledge, WHCNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RUT104299027 Issued in MN

Practice address

5000 W 36TH St
Suite 205
St Louis Park, MN 55416-2758

Phone

(952) 807-0415

Fax

(952) 236-6461

NPI assigned

Dec 22, 2005

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1336125111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST",
            "address_2": "SUITE 205",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162758",
            "telephone_number": "952-807-0415",
            "fax_number": "952-236-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST",
            "address_2": "SUITE 205",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162758",
            "telephone_number": "952-807-0415",
            "fax_number": "952-236-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "RUT104299027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debra Ann Rustad, RN, CNP
• Shirley M. Rutherford, M.A., LP
• Kirsten R Ryan, PT
• Maggie Ryan
• Megan Ryan
• Franchesca Rybak
• Paige Rygg, PT

• Women's Health Nurse Practitioner in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Women's Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.