Active NPI
Machelle Rutherford, LBSW
- Social Worker
- Tyler, TX
National Provider Identifier
1568529956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 18675
- Practice address
- 214 E Houston St
Tyler, TX 75702-8131 - Phone
- (903) 535-9041
- Fax
- (903) 531-9490
- NPI assigned
- Jan 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 18675 | TX | Primary |
Addresses
Primary practice location
214 E Houston St
Tyler, TX 75702-8131
Mailing address
214 E Houston St
Tyler, TX 75702-8131
Phone (903) 535-9041
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18675 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568529956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 E HOUSTON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757028131",
"telephone_number": "903-535-9041",
"fax_number": "903-531-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E HOUSTON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757028131",
"telephone_number": "903-535-9041",
"fax_number": "903-531-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "MACHELLE",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "18675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.