Dustin Wayne Rutkowski, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104670 Issued in TX

Practice address

1855 W Goodwin St
Pleasanton, TX 78064-4502

Phone

(830) 569-4313

NPI assigned

Aug 10, 2018

Last updated

Aug 10, 2018By the provider in NPPES

Sex

Male

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 Arts

State licenses

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1770062606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W GOODWIN ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644502",
            "telephone_number": "830-569-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W GOODWIN ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644502",
            "telephone_number": "830-569-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "DUSTIN",
        "middle_name": "WAYNE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diki Ann Reyes, FNP
• Meredyth Richter, N.P.-C
• Rishan V M PLLC (Elite Dental Care Pleasanton)
• Angelina Raylyn Romero
• D a Ruby, FNP
• Norma Jean Salinas, LPC
• San Antonio Extended Medical Care, Inc. (Med Mart Pleasanton)
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
• Brandy Ree Schjang, APRN, FNP-C
• Emily Kate Schorr, APRN, FNP-C

• Speech-Language Pathologist in Pleasanton, TX
• Providers in Pleasanton, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.