KIMBERLY AMELIA RUTLAND WHNP NPI 1073174199

NPI Information

NPI: 1073174199
Provider Name: KIMBERLY AMELIA RUTLAND, WHNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
810 SIXTH AVE
SANDPOINT, ID
ZIP 83864
Phone: (208) 265-6252
Get Directions

Kimberly Amelia Rutland, WHNP is an obstetrics and gynecology nurse practitioner in Sandpoint, ID. Kimberly Amelia Rutland, WHNP NPI is 1073174199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

810 SIXTH AVE
SANDPOINT, ID
ZIP 83864-396
Phone: (208) 265-6252
Fax: (208) 265-8214

The NPI 1073174199 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2019 and was last updated on 1/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	78336	IDAHO	Yes
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	AP61044089	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2171876	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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