Active NPI
Joanne Rutland, PMHNP
- Psychiatric/Mental Health Registered Nurse
- North Bend, OR
National Provider Identifier
1841284916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 099000440RN
- Practice address
- 1975 McPherson St
Suite 2
North Bend, OR 97459-3482 - Phone
- (541) 756-2020
- NPI assigned
- Sep 6, 2005
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 099000440RN | OR | Primary |
Addresses
Primary practice location
1975 McPherson St
Suite 2
North Bend, OR 97459-3482
Mailing address
1975 McPherson St
Suite 2
North Bend, OR 97459-3482
Phone (541) 756-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030478 | Medicaid | OR |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coos County Oregon | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Coos Bay, OR
- NPI 1063576908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841284916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 MCPHERSON ST",
"address_2": "SUITE 2",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593482",
"telephone_number": "541-756-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 MCPHERSON ST",
"address_2": "SUITE 2",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593482",
"telephone_number": "541-756-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTLAND",
"first_name": "JOANNE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OR",
"license": "099000440RN",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030478",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Bend, OR
Sources for this page
- 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.