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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412002705 | TN | Practitioner - Family Practice | 3577861228 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19649 | TN | MD | Family Nurse Practitioner |
| APN0000019649 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Care LLC | Current |
Accepting new patients |
Locations
980 Highway 28
Ste 100
Jasper, TN 37347
Phone (423) 939-1500
Interoperability endpoints
- rguess17451@direct.erlanger.org
- https://fhir4.healow.com/fhir/r4/FCHEAD/Endpoint/FCHEAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q021691 | Medicaid | TN |
NPI Registry JSON
{
"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
- Health Sphere Wellness Center LLC
- Heritage Radiology, PC
- Heron Emergency Physicians PLLC
- Miriam Janice Herstik
- Pamela R Hickman
- Eric Lee Hitch
- Lauren N Hogan
- Hospital Based Medical Services of Tennessee-I PC
- Benjamin Houska
- Independent Physical Therapy LLC
All providers in Jasper, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.