Organization Active NPI

Rutherford Pmhnp-BC PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Peyton, CO
National Provider Identifier
1841983046
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RUTHERFORD PMHNP-BC PLLC
Practice address
10780 Squawbush Loop
Peyton, CO 80831-6819
Phone
(720) 694-9908
NPI assigned
Jun 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luana Rutherford, PMHNPNPI 1194287391
Title
Owner
Phone
(720) 694-9908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

10780 Squawbush Loop
Peyton, CO 80831-6819

Mailing address

10780 Squawbush Loop
Peyton, CO 80831-6819
Phone (720) 694-9908

Other practice location 1

41705 N Club Pointe Dr
Phoenix, AZ 85086-1961
Phone (520) 334-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230717002458 CO Part B Supplier - Clinic/Group Practice 6305206772 Receives reassigned benefits from 1 practitioner
Practice locations: Peyton, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1841983046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SQUAWBUSH LOOP",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808316819",
            "telephone_number": "720-694-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SQUAWBUSH LOOP",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808316819",
            "telephone_number": "720-694-9908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41705 N Club Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850861961",
            "country_code": "US",
            "telephone_number": "520-334-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUTHERFORD PMHNP-BC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "LUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-694-9908",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.