Mackenzie Rutledge, BSN RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

237016-30 Issued in WI

Practice address

24761 W Russell LN
Mundelein, IL 60060-9598

Phone

(847) 757-9113

NPI assigned

Jan 13, 2020

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1609416270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24761 W RUSSELL LN",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24761 W RUSSELL LN",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609598",
            "telephone_number": "847-757-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "MACKENZIE",
        "credential": "BSN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "237016-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Romero, PHARMD
• Kristin Lynn Roth, SLP
• Kahly Royce
• Gelena Roytman, DDS
• Rush-Select Holdings, LLC. (RUSH Physical Therapy)
• Jamie Ryan
• Adedukunola Salimonu, PHARMD
• Erwin Calulot Santiago Jr., APRN, FNP-C
• Pearl H Santilukka, O.D.
• Melissa Sarabia Marinez

• Home Health Registered Nurse in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.