Individual provider Active NPI

Linda Le Nguyen-Rhodes

  • Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1043947658
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704304316 Issued in MI
Practice address
2060 E Paris Ave SE Ste 150
Grand Rapids, MI 49546-6502
Phone
(616) 454-1256
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704304316 MI Primary

Addresses

Primary practice location

2060 E Paris Ave SE Ste 150
Grand Rapids, MI 49546-6502

Mailing address

430 Union Ave NE Apt 203
Grand Rapids, MI 49503-5747
Phone (734) 735-5920

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
4704304316MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rapids Plastic Surgery PLC CurrentSince Aug 7, 2022 Accepting new patients

Locations

2060 East Paris Ave SE
Ste 150
Grand Rapids, MI 49546
Phone (616) 454-1256

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1043947658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 UNION AVE NE APT 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035747",
            "telephone_number": "734-735-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE STE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466502",
            "telephone_number": "616-454-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-RHODES",
        "first_name": "LINDA",
        "middle_name": "LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704304316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.