Provider Type Icon

JACQUELINE KAY RUTHERFORD NP NPI 1205122249


NPI Information

NPI: 1205122249
Provider Name: JACQUELINE KAY RUTHERFORD, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ISLAND MEDICAL ALABAMA LLC

PECOS Registration: Yes

Address:
1874 BELTLINE RD SW
DECATUR, AL
ZIP 35601
Phone: (256) 355-1518
Get Directions

Jacqueline Kay Rutherford, NP is a family nurse practitioner in Decatur, AL with 13 years of experience. Jacqueline Kay Rutherford, NP NPI is 1205122249. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2011

The provider's business location address is:

1874 BELTLINE RD SW
DECATUR, AL
ZIP 35601-514
Phone: (256) 355-1518

The NPI 1205122249 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 6/28/2011 and was last updated on 6/28/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily1-076446ALABAMAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.