Individual provider Active NPI

Jami Chiniche Rutherford, FNP

  • Family Nurse Practitioner
  • Bay Saint Louis, MS
National Provider Identifier
1629300231
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R867552 Issued in MS
Practice address
149 Drinkwater Blvd
Bay Saint Louis, MS 39520-2507
Phone
(228) 395-1255
Fax
(228) 395-1256
NPI assigned
Feb 6, 2010
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R867552 MS Primary

Addresses

Primary practice location

149 Drinkwater Blvd
Bay Saint Louis, MS 39520-2507

Mailing address

149 Drinkwater Blvd
Bay Saint Louis, MS 39520-2507
Phone (228) 395-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000868 MS Practitioner - Nurse Practitioner 0446439509 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R867552MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Apr 1, 2018 Accepting new patients
Gulf Coast Wound Associates LLC CurrentSince Sep 25, 2024 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Nov 1, 2018 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Apr 1, 2018 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Nov 1, 2018 Accepting new patients
Ochsner Medical Center - Hancock, LLC PastSince Jan 1, 2015 Accepting new patients
David F. Roberts, MD Past Accepting new patients

Locations

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

149 Drinkwater Rd
Fl 2
Bay St Louis, MS 39520
Phone (228) 395-1255

4540 Shepherd Sq
Diamondhead, MS 39525
Phone (228) 255-8216

5435 Gex Rd
Diamondhead, MS 39525
Phone (228) 255-8216

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

1530 Broad Ave
Gulfport, MS 39501
Phone (228) 236-4262

4500 13th St
Ste 900
Gulfport, MS 39501
Phone (228) 236-3872

1436 Central Ave E
Wiggins, MS 39577
Phone (601) 928-1889

Interoperability endpoints

  • Direct secure messaging: jrutherford@direct.mhg.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1629300231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DRINKWATER BLVD",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "395202507",
            "telephone_number": "228-395-1255",
            "fax_number": "228-395-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DRINKWATER BLVD",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "395202507",
            "telephone_number": "228-395-1255",
            "fax_number": "228-395-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "JAMI",
        "middle_name": "CHINICHE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-06",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R867552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Saint Louis, MS

Sources for this page

Verify at the official NPI Registry.