CONNIE T. RUTLEDGE NP – NPI #1003260191
Nurse Practitioner

CONNIE RUTLEDGE is a nurse practitioner located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1003260191 to CONNIE RUTLEDGE on April 15, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was last updated on Feb 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONNIE RUTLEDGE below.

NPI Profile for
CONNIE T. RUTLEDGE

NPI Number
1003260191
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CONNIE T. RUTLEDGE
Credentials
NP
Primary location
303 MED TECH PKWY STE 100
JOHNSON CITY, TN 37604-2392
Phone: (423) 282-5611 Fax: (423) 282-5712
1 Other location(s):
390 Kane St
Gate City, VA 24251-2753
Phone: (276) 386-3411
Fax: (276) 386-3492
Mailing address
PO BOX 632476
CINCINNATI, OH 45263-2476
Phone: (423) 282-5611 Fax: (423) 282-5712
Sole Proprietor
No
Updated
Certification Date
Feb 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)		 VA 0024173715

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CONNIE RUTLEDGE is affiliated with the following medical group(s):
  • HOSPITAL
    • WELLMONT HOLSTON VALLEY MEDICAL CENTER
      130 WEST RAVINE ROAD
      KINGSPORT, TN 37662
  • HOME HEALTH AGENCY
    • MOUNTAIN REGIONAL PERSONAL CARE SERVICES INC
      463 DUFF PATT HIGHWAY
      DUFFIELD, VA 24244

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.