Individual provider Active NPI

Ashleigh Victoria Rutherford, BA

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1720613052
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
150 E 58TH Street
5TH Floor Annex
New York, NY 10155
Phone
(212) 308-2440
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

150 E 58TH Street
5TH Floor Annex
New York, NY 10155

Mailing address

150 E 58TH St
2ND Floor Annex
New York, NY 10155
Phone (914) 874-7660

Other practice location 1

425 George St
New Haven, CT 06511-5410
Phone (914) 874-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2026 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
027824NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1720613052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 58TH ST",
            "address_2": "2ND FLOOR ANNEX",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10155",
            "telephone_number": "914-874-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 58TH STREET",
            "address_2": "5TH FLOOR ANNEX",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10155",
            "telephone_number": "212-308-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 George St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065115410",
            "country_code": "US",
            "telephone_number": "914-874-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "ASHLEIGH",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.