CONNIE T RUTLEDGE NP NPI 1003260191

NPI Information

  • NPI: 1003260191
  • Provider Name: CONNIE T RUTLEDGE, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 303 MED TECH PKWY STE 100
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 282-5611

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NPI Details

Connie T Rutledge, NP is a family nurse practitioner in Johnson City, TN with 9 years of experience. Connie T Rutledge, NP NPI is 1003260191. 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:

303 MED TECH PKWY STE 100
JOHNSON CITY, TN
ZIP 37604-392
Phone: (423) 282-5611
Fax: (423) 282-5712

The NPI 1003260191 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Automated urinalysis test (HCPCS:81003)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)

The enumeration date for this NPI number is 4/15/2016 and was last updated on 2/17/2025.

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
1363LF0000XNurse PractitionerFamily0024173715VIRGINIANo
2363LF0000XNurse PractitionerFamily21086TENNESSEEYes

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: 3/30/2025

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