Anne Rusterholtz, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA02588 Issued in OH

Practice address

10701 East Blvd
Louis Stokes Cleveland VA Medical Center
Cleveland, OH 44106-1702

Phone

(216) 791-3800

Fax

(216) 707-5991

NPI assigned

Oct 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790875896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 VISTA RIDGE CIR",
            "city": "HINCKLEY",
            "state": "OH",
            "postal_code": "442339267",
            "telephone_number": "330-659-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "address_2": "LOUIS STOKES CLEVELAND VA MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-791-3800",
            "fax_number": "216-707-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTERHOLTZ",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA02588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Laverne Russo, O.D.
• Jenna Elizabeth Russo
• Nicholas A Russo, MD
• Nikki Russo
• Suzanne M Russo, MD
• Stephen Victor Rusterholtz, CNP
• Gabriella Marguerite Rustia, MD
• Jeremy Schreiber Ruthberg, MD
• Audrey Ruthenberg, RD
• Terra Ruthenburg, RN, MSN, CNP

• Adult Health Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.