SHELLY RUTLEDGE (NPI# 1821547530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821547530 |
| Entity Type | Individual |
| Full Name | SHELLY RUTLEDGE |
| Credential | LAT, ATC |
| Practice Address |
4517 Jessup Grove Rd Greensboro NC 27410-9407 |
| Practice Telephone | 3366641052 |
| Mailing Telephone | 3366641052 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | LAT-2953 | NC | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945149 | Shelly Rutledge | Pharmacist | 178 Highway 167 N, Bald Knob, AR 72010-4058 | 2016-08-03 |
| 1275843039 | Shelly Rutledge | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2010-10-14 |
| Street Address |
4517 JESSUP GROVE RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-9407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629438106 | Pppt, LLC | Physical Therapist | 4517 Jessup Grove Rd, Greensboro, NC 27410-9407 | 2016-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829904 | Darrell Martin | Specialist/Technologist, Other | 209 Hollow Ln, Mt Holly, NC 28120-9652 | 2020-10-22 |
| 1154961100 | Amanda Roberts | Specialist/Technologist, Other | 113 County Line Rd, Tyner, NC 27980-9690 | 2020-01-07 |
| 1841849031 | Brandon Jacoby Everett | Specialist/Technologist, Other | 610 N Fayetteville St Ste 302, Asheboro, NC 27203-4671 | 2019-09-10 |
| 1598204240 | Lorette Robinson | Specialist/Technologist, Other | 17925 Halton Park Dr, 1e, Charlotte, NC 28262-6014 | 2017-02-14 |
| 1902343007 | Tracey Hampton | Specialist/Technologist, Other | 402 Saturn St, Dunn, NC 28334-2704 | 2017-01-26 |
| 1598142440 | Phillip Gary Horton Sr. | Specialist/Technologist, Other | 12152 Moonshadow Ln, Huntersville, NC 28078-6858 | 2015-04-29 |
| 1174914436 | Robyn Barton | Specialist/Technologist, Other | 10616 Metromont Pkwy Ste 106, Charlotte, NC 28269 | 2015-02-09 |
| 1821413519 | Kristen Lyn Mostrom | Specialist/Technologist, Other | 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 | 2014-03-04 |
| 1568891364 | Cape Fear Imaging, LLC | Specialist/Technologist, Other | 6361 Ocean Hwy E, Winnabow, NC 28479-5758 | 2013-11-02 |
| 1104128586 | Frank James Anderson | Specialist/Technologist, Other | 2126 Rolling Ridge Dr, Midway Park, NC 28544-1622 | 2010-11-17 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
Please comment or provide details below to improve the information on SHELLY RUTLEDGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.