KANESHA ELISE RUTHERFORD MS
NPI 1619342060
Case Manager/Care Coordinator in Vinita, OK

Q: What is Kanesha Rutherford's NPI number?

The NPI number for Kanesha Rutherford is 1619342060. It was assigned to this individual provider in the NPPES registry on December 10, 2015. The provider is also known as Elise Rutherford.

Q: What is Kanesha Rutherford's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since December 10, 2015PECOS Enrolled

405 E EXCELSIOR AVE, VINITA, OK 74301(918) 256-6476(918) 256-3628 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 20, 2019, Jan 11, 2016, Dec 10, 2015 (3 updates tracked since 2015).

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About Kanesha Elise Rutherford Ms NPPES

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

KANESHA ELISE RUTHERFORD MS (NPI 1619342060) is an individual case manager/care coordinator provider in Vinita, Oklahoma and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619342060

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKANESHA ELISE RUTHERFORDCredential: MS

Location Address405 E EXCELSIOR AVEVinita, OK 74301-4226

Mailing Address42879 County Road 570Eucha, OK 74342-5054 · (918) 264-2837 · Fax (918) 256-3628

Phone(918) 256-6476

Fax(918) 256-3628

Sole ProprietorNo

Enumeration DateDecember 10, 2015

Last NPPES UpdateNovember 20, 20193 updates tracked since enumeration

✔ NPI 1619342060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

405 E EXCELSIOR AVE, Vinita, OK 74301

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Other Names 1

Other Name (5)Elise Rutherford

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanesha Elise Rutherford Ms 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 20

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

ANISSA MARIE MAYHEW

Case Manager/Care Coordinator