Nicole Linn Rutt

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

6300 W Old Shakopee Rd
Bloomington, MN 55438-2654

Phone

(612) 261-1503

NPI assigned

May 19, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1841864121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22346 302ND ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560114408",
            "telephone_number": "952-688-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W OLD SHAKOPEE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382654",
            "telephone_number": "612-261-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTT",
        "first_name": "NICOLE",
        "middle_name": "LINN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Rupp
• Kelsea Jaye Rush, CNM
• Frank Russomanno Jr., D.D.S.
• Allison Hailey Ruthe, PT, DPT
• Constance Marie Rutledge, CRNA
• Faith Gakii Rwitoh
• Conor S Ryan, MD
• Robin Saunders Ryan, PT
• Ryde Stop Inc
• Emilyn Ryski

• Other Technician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Other Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.