Active NPI
Linda Le Nguyen-Rhodes
- Nurse Practitioner
- Grand Rapids, MI
National Provider Identifier
1043947658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704304316
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704304316 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Rapids Plastic Surgery PLC | Current | 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.
-
- Plastic Surgery Physician
- Grand Rapids, MI
- NPI 1760654602
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.