Active NPI
Melissa Vosche' Rutland Avery, MD MMM CPEFAAFPFAAPL
- Specialist
- Ashland, KY
National Provider Identifier
1508044363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35143
- Practice address
- 2301 Greenup Ave Ste 8a
Ashland, KY 41101-7869 - Phone
- (859) 303-9436
- NPI assigned
- Feb 4, 2008
- Last updated
- Dec 26, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35143 | KY | Primary |
| Family Medicine Physician | 207Q00000X | 35143 | KY | |
| Family Medicine Physician | 207Q00000X | 19882 | SC | |
| Family Medicine Physician | 207Q00000X | 32240 | TN | |
| Family Medicine Physician | 207Q00000X | 12682 | NV |
Addresses
Primary practice location
2301 Greenup Ave Ste 8a
Ashland, KY 41101-7869
Mailing address
855 Chandamere Way
Nicholasville, KY 40356-6008
Phone (615) 818-1967
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000705140 | Other | KY | ANTHEM-NICC |
| 7100123760 | Medicaid | KY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12682 | NV | MD | Family Medicine Physician |
| 19882 | SC | MD | Family Medicine Physician |
Organizations & group practices 1
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.
-
- Specialist
- Lexington, KY
- NPI 1710427752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1508044363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 CHANDAMERE WAY",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403566008",
"telephone_number": "615-818-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 GREENUP AVE STE 8A",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017869",
"telephone_number": "859-303-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "MELISSA",
"middle_name": "VOSCHE' RUTLAND",
"name_prefix": "Dr.",
"credential": "MD MMM CPEFAAFPFAAPL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-04",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "35143",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "35143",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "19882",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "32240",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "12682",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-NICC",
"identifier": "000000705140",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100123760",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
- Ashland Women's Care
- Ashland Women's Health
- Ashland-Bellefonte Cardiology, PSC
- Robert Howard Atkins, D.O.
- Emily Aust, MHA
- Michelle A. Aylsworth, LPCC
- Azalea Health & Skin Treatment Center LLC
- April Bach
- Back to Fitness (AHC of Ashland)
- Back to Fitness & Chiropractic, Inc. (American Health Centers of Ashland)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.