Angela Perrou Rutherford, MS, RD, LDN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

L001920 Issued in NC

Practice address

4709 Creekstone Dr Ste 300
Durham, NC 27703-0016

Phone

(919) 385-7877

Fax

(919) 576-8806

NPI assigned

Feb 22, 2019

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  Medicare reassignment NPD

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1821555160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 ORTIN LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127240",
            "telephone_number": "919-622-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 CREEKSTONE DR STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030016",
            "telephone_number": "919-385-7877",
            "fax_number": "919-576-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "ANGELA",
        "middle_name": "PERROU",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NC",
            "license": "L001920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Russell
• Russell's Pharmacy & Shoppe LLC
• Grace Jewell Russo, PT, DPT
• Lisa Ruszczyk, MD
• Althea Shawani Rutherford, PA
• Richard Woodson Rutherford Jr., M.D.
• Angela Anne Rutkowski, MD
• Caroline Rutledge
• Lukas D Rutledge, LCSW
• Andrew T Ruvo, DDS

• Pediatric Nutrition Registered Dietitian in Durham, NC
• Providers in Durham, NC by specialty
• Pediatric Nutrition Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.