Altis Beatrice Rutherford, BA,BHRS, CM-A

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

300 N Dalton
Valliant, OK 74764

Phone

(580) 286-6638

Fax

(580) 286-5206

NPI assigned

Mar 6, 2007

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Altis Beatrice Rutherford Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Certified Medical Assistant

Practice roles

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.

• Valliant House, LLC

  • Substance Abuse Rehabilitation Facility
  • Valliant, OK
  • NPI 1104030402
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1720118276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "747640673",
            "telephone_number": "580-933-7031",
            "fax_number": "580-933-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N DALTON",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "74764",
            "telephone_number": "580-286-6638",
            "fax_number": "580-286-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "ALTIS",
        "middle_name": "BEATRICE",
        "name_prefix": "Mrs.",
        "credential": "BA,BHRS, CM-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALTIS",
            "last_name": "RUTHERFORD",
            "middle_name": "BEATRICE",
            "prefix": "MRS.",
            "credential": "BA,BHRS, CM-A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cylvia Allison Reckner, D.C
• Gina Diane Rice, RN
• Roberta a Suhr DDS
• Sheila Diane Rock
• Bailey Raye Rogers, LPC
• Sarah N. Slaton, M.S., CCC-SLP
• Linda C Smith
• Speech Therapy for SE Oklahoma LLC
• Darrell Reed Suhr, DDS
• Roberta Ann Suhr, DDS

• Counselor in Valliant, OK
• Providers in Valliant, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.