Keinishia Y Rhodes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3109 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6260

Phone

(813) 289-0760

NPI assigned

Dec 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Maxim Healthcare Services, Inc

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1699423830
  NPD

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1053129452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BRIGHT IBIS AVE",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723548",
            "telephone_number": "314-461-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076260",
            "telephone_number": "813-289-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "KEINISHIA",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Kenneth Rhode, A.R.N.P.
• Sara Catherine Rhode, LCSW
• Andrew Brice Rhodes, DO
• Carlous Rhodes
• Danielle Elizabeth Rhodes
• Michaela Rhodes
• Michelle Rhodes, REGISTERED NURSE
• Rhonda Rhodes, LCSW
• Vicki Lynn Rhodes, MD
• Leslie Ann Rhum, M.S. CCC-SLP

• Behavior Technician in Tampa, FL
• Providers in Tampa, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.