Individual provider

Kali Rutherford, PA

Physician Assistant

Kali Rutherford, PA is a Physician Assistant in Jefferson Cty, TN, registered under NPI 1164275566.

Getting there

The practice address on file is 1405 S SIZER AVE STE A, Jefferson Cty, TN 37760. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1405 S SIZER AVE STE A, Jefferson Cty, TN 37760 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
5906 TN Physician Assistant primary

This provider holds licence 5906 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Physician Assistant covers

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant
363A00000X Physician Assistant 5906 TN primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164275566 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 8, 2024
Last updatedJun 5, 2026
StatusActive
Sole proprietorNo
GenderFemale
CredentialPA
Practice address 1405 S SIZER AVE STE A
Jefferson Cty, TN 37760
(865) 690-3811
Mailing address 10200 GRAND CENTRAL AVE STE 220
Owings Mills, MD 21117
This record was updated on Jun 5, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1164275566 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 2 7 5 5 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 4 7 1 5 3

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164275566?
NPI 1164275566 is the National Provider Identifier assigned to Kali Rutherford, PA in Jefferson Cty, TN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In…
How do I contact Kali Rutherford, PA?
The phone number on file with NPPES is (865) 690-3811, last updated Jun 5, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1164275566 a valid number?
Yes. 1164275566 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.