Alexandria Renee Rutherford, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MED-PHYS-LIC68359 Issued in MT

Practice address

310 Sunnyview LN
Kalispell, MT 59901-3129

Phone

(406) 751-5310

Fax

(406) 751-3068

NPI assigned

Aug 5, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Logan Health - Conrad

  • Critical Access Hospital
  • Conrad, MT
  • NPI 1467445049
  Medicare reassignment NPD
• Logan Health - Shelby

  dba Marias Medical Center

  • Critical Access Hospital
  • Shelby, MT
  • NPI 1497742415
  Medicare reassignment NPD
• Northern Montana Hospital

  • Critical Access Hospital
  • Havre, MT
  • NPI 1427059070
  Medicare reassignment NPD
• Logan Health - Conrad

  dba Logan Health Rural Health Clinic - Conrad

  • Rural Health Clinic/Center
  • Conrad, MT
  • NPI 1669461703
  NPD
• Logan Health - Conrad

  dba Logan Health EMS - Conrad

  • Ambulance
  • Conrad, MT
  • NPI 1790803765
  NPD
• Logan Health - Shelby

  dba Logan Health Clinic - Shelby

  • Multi-Specialty Clinic/Center
  • Shelby, MT
  • NPI 1750013991
  NPD
• Northern Montana Hospital

  dba Northern Montana Family Medical Center

  • Rural Health Clinic/Center
  • Havre, MT
  • NPI 1538131172
  NPD
• Northern Montana Hospital

  dba Northern Montana Hospital Swing Beds

  • Critical Access Hospital
  • Havre, MT
  • NPI 1578536355
  NPD
• Northern Montana Hospital

  dba Northern Montana Hospital Emergency Medicine

  • Clinic/Center
  • Havre, MT
  • NPI 1669447967
  NPD
• Kalispell Regional Medical Center Inc

  dba Logan Health Medical Center

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  NPD (past)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1528347796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129",
            "telephone_number": "406-751-5310",
            "fax_number": "406-751-3068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-6285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Havre",
            "state": "MT",
            "postal_code": "595016207",
            "country_code": "US",
            "telephone_number": "406-265-5408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "ALEXANDRIA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "LL33932",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC68359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Conrad",
            "address_1": "805 Sunset Boulevard",
            "city": "Conrad",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594250758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles Rush, PTA
• Austin Rusher, WHNP
• Paige Nicole Rushing, RPH
• Misha Russ, CNM
• Jochen Russig, LCSW
• Michael Todd Rutherford, M.D.
• Ryan Chiropractic Clinic PLLC
• Timothy Parker Ryan, D.C.
• Kathryn Ryen, LCPC
• Anthony James Sabol, CRNA

• Family Medicine Physician in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.