KELLIE ANNE RUTHERFORD NP NPI 1679049092

NPI Information

  • NPI: 1679049092
  • Provider Name: KELLIE ANNE RUTHERFORD, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 5955 HARBOUR PARK DR
    MIDLOTHIAN, VA
    ZIP 23112
  • Phone: (804) 744-4495

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NPI Details

Kellie Anne Rutherford, NP is a pediatrics nurse practitioner in Midlothian, VA. Kellie Anne Rutherford, NP NPI is 1679049092. 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:

5955 HARBOUR PARK DR
MIDLOTHIAN, VA
ZIP 23112-163
Phone: (804) 744-4495

The enumeration date for this NPI number is 10/24/2018 and was last updated on 8/22/2024.

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
1363LP0200XNurse PractitionerPediatrics0024176699VIRGINIAYes

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: 11/21/2025

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