Active NPI
Melissa Marie Rutti, CNP
- Family Nurse Practitioner
- Medina, OH
National Provider Identifier
1821526922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LE-00008106
- Practice address
- 111 Reagan Pkwy
Medina, OH 44256 - Phone
- (330) 725-6226
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LE-00008106 | OH | Primary |
Addresses
Primary practice location
111 Reagan Pkwy
Medina, OH 44256
Mailing address
738 Hadcock Rd
Brunswick, OH 44212-2615
Phone (216) 410-6725
Other practice location 1
1299 Industrial Pkwy N
Brunswick, OH 44212-6367
Phone (216) 957-1450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LE-00008106 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1821526922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 HADCOCK RD",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442122615",
"telephone_number": "216-410-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 REAGAN PKWY",
"city": "MEDINA",
"state": "OH",
"postal_code": "44256",
"telephone_number": "330-725-6226"
}
],
"practiceLocations": [
{
"address_1": "1299 Industrial Pkwy N",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "OH",
"postal_code": "442126367",
"country_code": "US",
"telephone_number": "216-957-1450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTTI",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "LE-00008106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.