Individual provider Active NPI

Kemley Marie Rhodes

  • Critical Care Medicine Registered Nurse
  • Lake Mary, FL
National Provider Identifier
1013448570
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
RN9415863 Issued in AZ
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

Updated by the provider on May 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN9415863AZMDCritical 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.

Verify at the official NPI Registry.