Stacy P Rutledge (NPI# 1174015002, PAC ID# 1254687569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174015002 |
| PAC ID by PECOS | 1254687569 |
| Professional Enrollment ID | I20180628002130 |
| Full Name | Stacy P Rutledge |
| Organization Legal Name | COMMUNITY CARE CLINIC LLC |
| Address |
5328 Cypress St West Monroe LA 71291-7506 |
| Phone Number | 3183973636 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5597812719 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5328 Cypress St, West Monroe, LA 71291-7506 | 3183973636 | COMMUNITY CARE CLINIC LLC |
| Organization Legal Name | COMMUNITY CARE CLINIC LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger W Rutledge | Nurse Practitioner | Community Care Clinic LLC | 5328 Cypress St, West Monroe, LA 71291-7506 |
| Jessica B Sharp | Nurse Practitioner | Community Care Clinic LLC | 5328 Cypress St, West Monroe, LA 71291-7506 |
| Teresa A Deese | Nurse Practitioner | Community Care Clinic LLC | 5328 Cypress St, West Monroe, LA 71291-7506 |
| Street Address |
5328 CYPRESS ST |
| City | WEST MONROE |
| State | LA |
| Zip | 71291-7506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger W Rutledge | Nurse Practitioner | Community Care Clinic LLC | 5328 Cypress St, West Monroe, LA 71291-7506 |
| Jessica B Sharp | Nurse Practitioner | Community Care Clinic LLC | 5328 Cypress St, West Monroe, LA 71291-7506 |
| Teresa A Deese | Nurse Practitioner | Community Care Clinic LLC | 5328 Cypress St, West Monroe, LA 71291-7506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria T Durkee | Clinical Nurse Specialist | Physician Group of Louisiana Inc | 128 Ridgedale Dr, Suite 1, West Monroe, LA 71291-2017 |
| Kaleb K Deshotel | Chiropractic | 811 Cypress St, West Monroe, LA 71291-2923 | |
| Steven R Crider | Infectious Disease | 405 Stella St A, West Monroe, LA 71291-2968 | |
| Mark S Debord | Clinical Social Worker | 212 Cypress St, West Monroe, LA 71291-3120 | |
| Anna Reardon | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Shandra Winbush | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Justin M. Rawls | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Melanie Massey | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Anne Colvin | Occupational Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Lauren A Sledge | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Find all physicians in zip 71291 | |||
| City | WEST MONROE |
| Zip Code | 71291 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST MONROE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacy P Rutledge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.