Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Audrey Kay Rutherford, MD

Individual provider Dermatology Physician · NPI 1366946899

Dr. Audrey Kay Rutherford, MD is a Dermatology in Centerville, Utah. Graduated from University of Texas Southwestern Medical School at Dallas in 2018, 8 years ago. Practices with Epiphany Dermatology of Colorado LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
UT
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1222 W Legacy Crossing Blvd Ste 200
Centerville, UT 84014-5560
Phone: (801) 549-0570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 12829524-1205 (UT)

Record details

NPI number1366946899
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2018 (8 years in practice)
Group practice Epiphany Dermatology Of Colorado Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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