MYSTIQUE SHAVONNE RUTLEDGE
NPI 1740071208
Registered Nurse - Home Health in Gastonia, NC

Active since May 14, 2025
796 LOG CABIN DR, GASTONIA, NC 28054(980) 267-7717 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mystique Shavonne Rutledge NPPES

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

MYSTIQUE SHAVONNE RUTLEDGE (NPI 1740071208) is an individual home health provider in Gastonia, North Carolina, licensed in North Carolina (HC7837) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1740071208
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameMYSTIQUE SHAVONNE RUTLEDGE
Location Address796 LOG CABIN DRGastonia, NC 28054-0215
Mailing Address796 Log Cabin DrGastonia, NC 28054-0215 · (980) 267-7717
Sole ProprietorNo
Enumeration DateMay 14, 2025
NPPES CertifiedMay 14, 2025
NPI 1740071208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License Licensed in NC · HC7837
796 LOG CABIN DR, Gastonia, NC 28054

Other Providers at the Same Location NPPES

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

In Home Supportive Care
796 LOG CABIN DR
GASTONIA, NC 28054

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 Mystique Rutledge's NPI number?

The NPI number for Mystique Rutledge is 1740071208. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Mystique Rutledge located?

Mystique Rutledge practices at 796 Log Cabin Dr, Gastonia, NC 28054. The listed phone number is (980) 267-7717.

What is Mystique Rutledge's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Mystique Rutledge was last updated on May 14, 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.