Active NPI
Rhonda S Arnold, ACNP
- Nurse Practitioner
- Dayton, OH
National Provider Identifier
1073889101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.13260-NP
- Practice address
- 75 Sylvania Dr
Dayton, OH 45440-3237 - Phone
- (937) 320-5050
- Fax
- (937) 320-5060
- NPI assigned
- Mar 22, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN222748 | OH | |
| Nurse Practitioner | 363L00000X | COA.13260-NP | OH | Primary |
Addresses
Primary practice location
75 Sylvania Dr
Dayton, OH 45440-3237
Mailing address
2020 Exeter Rd
Germantown, TN 38138-3945
Phone (901) 747-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064120 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN222748 | OH | MD | Registered Nurse |
| COA.13260-NP | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1073889101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 EXETER RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383945",
"telephone_number": "901-747-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SYLVANIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454403237",
"telephone_number": "937-320-5050",
"fax_number": "937-320-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "RHONDA",
"middle_name": "S",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN222748",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.13260-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0064120",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.