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

Katese Black Lashun Rutherford

Individual provider Family Nurse Practitioner · NPI 1598132771

Katese Black Lashun Rutherford is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2015, 11 years ago. Practices with Urology Professional Association, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2015
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Practice location Address checks out

499 Gloster Creek Vlg
Tupelo, MS 38801-4600
Phone: (662) 432-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 State Highway 30 W, New Albany, MS 38652-3197 — (662) 432-0700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R883096 (MS)

Record details

NPI number1598132771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2015
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address499 Gloster Creek Vlg Ste A1, Tupelo, MS 38801-4749

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Urology Professional Association — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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