SAM HOUSTON RUTTER
NPI 1174469613
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since April 27, 2026PECOS Enrolled
2201 CHILDRENS WAY STE 11221, NASHVILLE, TN 37212(615) 322-0738(615) 322-4586 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sam Houston Rutter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM HOUSTON RUTTER (NPI 1174469613) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174469613
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAM HOUSTON RUTTER
Location Address2201 CHILDRENS WAY STE 11221Nashville, TN 37212-3164
Mailing Address2201 Childrens Way Ste 11221Nashville, TN 37212-3164 · (615) 322-0738 · Fax (615) 322-4586
Fax(615) 322-4586
Sole ProprietorNo
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
NPI 1174469613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2201 CHILDRENS WAY STE 11221, Nashville, TN 37212

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sam Houston Rutter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2201 CHILDRENS WAY STE 11221
NASHVILLE, TN 37212
Student in an Organized Health Care Education/Training Program
2201 CHILDRENS WAY STE 11221
NASHVILLE, TN 37212
Student in an Organized Health Care Education/Training Program
2201 CHILDRENS WAY STE 11221
NASHVILLE, TN 37212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Rutter's NPI number?

The NPI number for Sam Rutter is 1174469613. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Sam Rutter located?

Sam Rutter practices at 2201 Childrens Way Ste 11221, Nashville, TN 37212. The listed phone number is (615) 322-0738.

What is Sam Rutter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sam Rutter enrolled in Medicare?

Yes. Sam Rutter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sam Rutter was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.