Active NPI
Kemley Marie Rhodes
- Critical Care Medicine Registered Nurse
- Lake Mary, FL
National Provider Identifier
1013448570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN9415863
- Practice address
- 433 Sun Lake Cir
Apt 209
Lake Mary, FL 32746-6142 - Phone
- (787) 375-4597
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9415863 | AZ | Primary |
Addresses
Primary practice location
433 Sun Lake Cir
Apt 209
Lake Mary, FL 32746-6142
Mailing address
130 Jasmine Woods CT Apt 12a
Deltona, FL 32725-9326
Phone (321) 663-3577
Other practice location 1
3600 N 5th Ave Apt 305
Phoenix, AZ 85013-3735
Phone (787) 375-4597
Other practice location 2
3600 N 5th Ave Apt 305
Phoenix, AZ 85013-3735
Phone (787) 375-4597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9415863 | AZ | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1013448570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 JASMINE WOODS CT APT 12A",
"city": "DELTONA",
"state": "FL",
"postal_code": "327259326",
"telephone_number": "321-663-3577",
"fax_number": "321-663-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 SUN LAKE CIR",
"address_2": "APT 209",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466142",
"telephone_number": "787-375-4597"
}
],
"practiceLocations": [
{
"address_1": "3600 N 5th Ave Apt 305",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850133735",
"country_code": "US",
"telephone_number": "787-375-4597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 N 5th Ave Apt 305",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850133735",
"country_code": "US",
"telephone_number": "787-375-4597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RHODES",
"first_name": "KEMLEY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2023-05-15",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "AZ",
"license": "RN9415863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.