HAILEE ELIZABETH RUTHERFORD FNP-C PLLC - NPI 1407664972

Q: What is Hailee Elizabeth Rutherford Fnp-C PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Hailee Elizabeth Rutherford Fnp-c Pllc NPPES

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

HAILEE ELIZABETH RUTHERFORD FNP-C PLLC (NPI 1407664972) is a healthcare organization registered as a family medicine in Mena, Arkansas and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Hailee Rutherford, Owner, as its authorized official.

NPPES Registry Identity

NPI1407664972

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHAILEE ELIZABETH RUTHERFORD FNP-C PLLC

Location Address1706 HIGHWAY 71 NMena, AR 71953-8917

Mailing Address1661 Airport Rd Ste DHot Springs, AR 71913-8184 · (501) 625-7500 · Fax (501) 625-7777

Phone(479) 394-1500

Organization SubpartNo

Authorized OfficialHailee RutherfordOwner · (501) 625-7500

Enumeration DateDecember 30, 2024

NPPES CertifiedDecember 30, 2024

✔ NPI 1407664972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1706 HIGHWAY 71 N, Mena, AR 71953

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D1026829

Hailee Elizabeth Rutherford Fnp-C, PLLC · Mena, AR

Active · expires Apr 28, 2027

CLIA Number04D1026829

Laboratory TypePhysician Office

Certificate Effective DateApril 29, 2025

Certificate Expiration DateApril 28, 2027

Laboratory DirectorHailee Rutherford

Laboratory Phone(479) 394-1500

Laboratory LocationHailee Elizabeth Rutherford Fnp-C, PLLC1706 North Us 71, Mena, AR 71953

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

LINDY KAYE JUMPER APRN

Nurse Practitioner (Family)