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JENNIFER DE RUTTE
NPI 1194618124
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since May 29, 2025
800 IRVING AVE, SYRACUSE, NY 13210(707) 477-3853 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, May 29, 2025 (2 updates tracked since 2025).

About Jennifer De Rutte NPPES

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

JENNIFER DE RUTTE (NPI 1194618124) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1194618124
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER DE RUTTE
Location Address800 IRVING AVESyracuse, NY 13210-2716
Mailing Address1119 N Townsend St Apt 407Syracuse, NY 13208-2656 · (707) 477-3853
Phone(707) 477-3853
Sole ProprietorNo
Enumeration DateMay 29, 2025
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1194618124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
800 IRVING AVE, Syracuse, NY 13210
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Other Providers at the Same Location NPPES 20

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

MICHELE RENE MCDONALD NP
Nurse Practitioner
800 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 425-4400
MS. KATHERINE JANICE BUFANO OTR/L
Occupational Therapist
800 IRVING AVE, VETERAN'S ADM. MEDICAL CENTER-OCCUPATIONAL THERAPY
SYRACUSE, NY 13210
Onondaga County (315) 425-4400
MR. MICHAEL JOHN HEATON RPH
Pharmacist
800 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 425-2456
MRS. JANICE MOREY PEDERSEN NP
Nurse Practitioner (Adult Health)
800 IRVING AVE, A 447
SYRACUSE, NY 13210
Onondaga County (315) 425-4400
STEPHEN ALBERT MAISTO PH.D.
Psychologist
800 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 425-6546
SAMANTHA CRANDALL PT, DPT
Physical Therapist
800 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 425-4400
MELISSA MARIE MORRIS LMSW
Social Worker (Clinical)
800 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 425-4400
NANCY MARIE KIBBY FNP
Nurse Practitioner (Family)
800 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 425-6515

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 Jennifer De Rutte's NPI number?

The NPI number for Jennifer De Rutte is 1194618124. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Jennifer De Rutte located?

Jennifer De Rutte practices at 800 Irving Ave, Syracuse, NY 13210. The listed phone number is (707) 477-3853.

What is Jennifer De Rutte's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer De Rutte was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.