Individual provider Active NPI

Ameena Jeane Rutledge Ali, PHD

  • Midwife
  • Decatur, GA
National Provider Identifier
1548505654
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
1719 W Austin Rd
Decatur, GA 30032-4861
Phone
(770) 870-8045
Fax
(209) 821-8045
NPI assigned
Nov 29, 2012
Last updated
Dec 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

1719 W Austin Rd
Decatur, GA 30032-4861

Mailing address

14238 E Mississippi PL
Suite 4-205
Aurora, CO 80012-4904
Phone (770) 870-8045

Other names 1

  • Dr. Ameena Jeane Rutledge Professional name

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)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1548505654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14238 E MISSISSIPPI PL",
            "address_2": "SUITE 4-205",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124904",
            "telephone_number": "770-870-8045",
            "fax_number": "209-821-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 W AUSTIN RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324861",
            "telephone_number": "770-870-8045",
            "fax_number": "209-821-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE ALI",
        "first_name": "AMEENA",
        "middle_name": "JEANE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMEENA",
            "last_name": "RUTLEDGE",
            "middle_name": "JEANE",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.