Sally Rutledge, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2013002826 Issued in MO

Practice address

639 W Chestnut Expy
Springfield, MO 65802-3935

Phone

(417) 523-7500

Fax

(417) 523-7695

NPI assigned

Aug 26, 2013

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

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Springfield Public Schools R-12

  • Local Education Agency (LEA)
  • Springfield, MO
  • NPI 1265561781
  NPD (past)

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1740614817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 S WALLIS SMITH BLVD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043866",
            "telephone_number": "918-231-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023935",
            "telephone_number": "417-523-7500",
            "fax_number": "417-523-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "SALLY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2013002826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy L Rust, NP
• Sherri L Rust, MA, LPC
• Stacy Rust, PLPC
• Zachary Rust
• Jessie L Rutledge, PLPC
• Ryan B Perkins DC LLC
• Frances Ryan
• Natalie Anne Ryan
• Callie Renae Rycraft
• Charles Rolland Ryen, DDS

• Speech-Language Pathologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.