Jacqueline Suzanne Rutherford, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

9253483 Issued in FL

Practice address

5192 Bayou Blvd
Pensacola, FL 32503-2102

Phone

(850) 484-5040

Fax

(850) 475-5507

NPI assigned

Oct 30, 2007

Last updated

Oct 30, 2007By 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

Registered Nurse

State licenses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1679752323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5192 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032102",
            "telephone_number": "850-484-5040",
            "fax_number": "850-475-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5192 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032102",
            "telephone_number": "850-484-5040",
            "fax_number": "850-475-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "JACQUELINE",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "9253483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Russell, MA
• Tanzileah Russell
• Patricia J Russo, BC-HIS
• Richard F Russo, MD
• Andrew Blake Rutherford
• RX Advantage Inc
• RX View, LLC
• Kelley Ryals
• Charles Ryan, LMHC
• Grace Ryan

• Case Management Registered Nurse in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Case Management Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.