Rhonda C Hill, APN

Individual provider Active NPI Family Nurse Practitioner · Jasper, TN

NPI 1003209982 · NPPES record last updated Jul 25, 2017

Key facts

NPI
1003209982
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
19649 (TN)
Practice address
980 Highway 28
Ste 100
Jasper, TN 37347-3696
Phone
(423) 939-1500
Fax
(423) 939-1503
NPI assigned
Mar 16, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160412002705 TN Practitioner - Family Practice 3577861228 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19649TNMDFamily Nurse Practitioner
APN0000019649TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Care LLC Current
since Mar 21, 2016
Accepting new patients

Locations

980 Highway 28
Ste 100
Jasper, TN 37347
Phone (423) 939-1500

Interoperability endpoints

  • Direct secure messaging: rguess17451@direct.erlanger.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCHEAD/Endpoint/FCHEAD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000019649 TN
Family Nurse Practitioner 363LF0000X 19649 TN Yes

Addresses

Primary practice location

980 Highway 28
Ste 100
Jasper, TN 37347-3696

Mailing address

980 Highway 28
Ste 100
Jasper, TN 37347-3696
Phone (423) 939-1500

Other identifiers

IdentifierTypeStateIssuer
Q021691MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 25, 2017.

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1003209982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 28",
            "address_2": "STE 100",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473696",
            "telephone_number": "423-939-1500",
            "fax_number": "423-939-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 28",
            "address_2": "STE 100",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473696",
            "telephone_number": "423-939-1500",
            "fax_number": "423-939-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "RHONDA",
        "middle_name": "C",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019649",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021691",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TN

All providers in Jasper, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.