LISA MARIE RUTHERFORD (NPI# 1871982157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871982157 |
| Entity Type | Individual |
| Full Name | LISA MARIE RUTHERFORD |
| Other Name | LISA WINTERS |
| Credential | NP |
| Practice Address |
3614 Providence Rd S Ste 200 Waxhaw NC 28173-6310 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 7043848640 |
| Practice Fax Number | 7043848650 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5007387 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15235 John J Delaney Dr Ste B, Charlotte, NC 282772846 | 7043847300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497242523 | Lisa Rutherford | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2018-04-14 |
| 1922240068 | Lisa Rutherford | Social Worker | 105 Loudon Rd, Building 3, Concord, NH 03301-5601 | 2009-04-06 |
| Street Address |
3614 PROVIDENCE RD S STE 200 |
| City | WAXHAW |
| State | NC |
| Zip Code | 28173-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134181118 | Howard M Guthmann II | Family Medicine | 3614 Providence Rd S Ste 200, Waxhaw, NC 28173-7394 | 2006-04-05 |
| 1326694167 | Mallory Lou Moore | Pharmacist | 3614 Providence Rd S Ste 200, Waxhaw, NC 28173-6310 | 2019-08-16 |
| 1689028664 | Adam Renard Culver | Family Medicine | 3614 Providence Rd S Ste 200, Waxhaw, NC 28173-6310 | 2016-04-15 |
| 1407132178 | Jennifer Lynn Gonzales | Physician Assistant | 3614 Providence Rd S Ste 200, Waxhaw, NC 28173-6310 | 2011-10-26 |
| 1144310624 | David Perry Smith | Family Medicine | 3614 Providence Rd S Ste 200, Waxhaw, NC 28173 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733175 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1615 Providence Road South, Marvin, NC 28173 | 2020-06-04 |
| 1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
| 1336631514 | Suganya Nelatoor,d.d.s.,p.l.l.c. | Clinic/Center | 102 E Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2018-06-04 |
| 1184120750 | Restore Healthcare Medical Group | Counselor | 500 Waxhaw Professional Park Drive, Ste 105 F, Waxhaw, NC 28173 | 2018-04-03 |
| 1730690827 | Concrete Roses Consulting | Community/Behavioral Health | 5960 Fairview Road, 323, Charlotte, NC 28173 | 2017-10-17 |
| 1861849523 | Kayla Selena Caldwell | Social Worker | 3908 Rev. H. Morrison Rd., Waxhaw, NC 28173 | 2016-05-23 |
| 1588023782 | Teri Hipp | Counselor | 101-e Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2016-02-16 |
| 1710355508 | Caresmatic Phase 1,inc. | Assisted Living Facility | 520 Pembroke Ln., Waxhaw, NC 28173 | 2015-09-10 |
| 1437564838 | Anna Waddell Schneiderman | Counselor | 104 Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2014-06-24 |
| 1467892109 | Samantha Weidele Waldman | Counselor | 9929 Rea Rd Ste 201, Waxhaw, NC 28173 | 2013-06-26 |
| Find all providers in zip 28173 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293575 | Rinali K Patel | Nurse Practitioner | 1810 Therrell Farms Rd, Waxhaw, NC 28173-7373 | 2020-04-02 |
| 1679535652 | Sherry Demaison | Nurse Practitioner | 3614 Providence Rd S, Suite 200, Waxhaw, NC 28173-6309 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891959 | Amanda Lou Nester | Nurse Practitioner | 5293 Wayne Memorial Dr, Goldsboro, NC 27534-7257 | 2020-11-04 |
| 1902406671 | Lilly Danielle Appleberry | Nurse Practitioner | 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 | 2020-10-30 |
| 1457950255 | Ronda Kaye Mckinney | Nurse Practitioner | 27 Resort Dr, Asheville, NC 28806-3815 | 2020-10-22 |
| 1215544986 | Tonya Lynn Burris | Nurse Practitioner | 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 | 2020-09-28 |
| 1609482280 | Deanna Mclamb | Nurse Practitioner | 3102 Bell Arthur Rd, Greenville, NC 27834-4758 | 2020-09-19 |
| 1548873664 | Rosalynn Maria Solis | Nurse Practitioner | 1407 Regal View Dr, Kernersville, NC 27284-0060 | 2020-08-28 |
| 1003428293 | Kashari Davis | Nurse Practitioner | 4252 Sutwick Dr, Charlotte, NC 28269-6001 | 2020-08-19 |
| 1861003709 | Raymond William Meyers | Nurse Practitioner | 1604 Pelham Rd, Winterville, NC 28590-9131 | 2020-08-13 |
| 1700495553 | Evergreen Emmejune Haverkamp | Nurse Practitioner | 545 Schultz Cir, Newland, NC 28657-7714 | 2020-07-28 |
| 1770191835 | Brandy Sampson | Nurse Practitioner | 2900 Old House Cir, Matthews, NC 28105-7279 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
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| 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.