Active NPI
Farrah Rutherford
- Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1487959573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009372
- Practice address
- 1001 Blythe Blvd
Medical Center Plaza Suite 200
Charlotte, NC 28203-5866 - Phone
- (704) 381-8840
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21870 | SC | |
| Nurse Practitioner | 363L00000X | 5009372 | NC | Primary |
Addresses
Primary practice location
1001 Blythe Blvd
Medical Center Plaza Suite 200
Charlotte, NC 28203-5866
Mailing address
1001 Blythe Blvd
Charlotte, NC 28203-5866
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1487959573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD",
"address_2": "MEDICAL CENTER PLAZA SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035866",
"telephone_number": "704-381-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "FARRAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "21870",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.