Active NPI
Kim M Rutter, PA-C, R.PH.
- Pharmacist
- Franklin, WI
National Provider Identifier
1922023019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11878
- Practice address
- 3111 W Rawson Ave
Suite 210
Franklin, WI 53132-9417 - Phone
- (414) 325-4370
- Fax
- (414) 761-0713
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11878 | WI | Primary |
| Physician Assistant | 363A00000X | 1842-023 | WI |
Addresses
Primary practice location
3111 W Rawson Ave
Suite 210
Franklin, WI 53132-9417
Mailing address
3245 N 105TH St
Wauwatosa, WI 53222-3327
Phone (414) 453-5235
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
- Physician Assistant, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11878 | WI | MD | Pharmacist |
| 1842-023 | WI | MD | Physician Assistant |
| 1842 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Pain Care LLC | 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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Franklin, WI
- NPI 1568682318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1922023019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 N 105TH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532223327",
"telephone_number": "414-453-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 W RAWSON AVE",
"address_2": "SUITE 210",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329417",
"telephone_number": "414-325-4370",
"fax_number": "414-761-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTTER",
"first_name": "KIM",
"middle_name": "M",
"credential": "PA-C, R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11878",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1842-023",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.