Individual provider Active NPI

Rhonda Stanley, REGISTERED NURSE

  • Addiction (Substance Use Disorder) Registered Nurse
  • Toledo, OH
National Provider Identifier
1073972519
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
4704312718 Issued in MI
Practice address
115 S Reynolds Rd Ste C
Toledo, OH 43615
Phone
(419) 725-6631
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 4704312718 MI Primary

Addresses

Primary practice location

115 S Reynolds Rd Ste C
Toledo, OH 43615

Mailing address

115 S Reynolds Rd Ste C
Toledo, OH 43615-6958
Phone (419) 725-6631

Other practice location 1

4673 Washtenaw Ave
Ann Arbor, MI 48108-1301
Phone (734) 544-1523

Other practice location 2

4673 Washtenaw Ave
Ann Arbor, MI 48108-1301
Phone (734) 544-1523

Other identifiers 1

IdentifierTypeStateIssuer
0306669MedicaidOH

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
4704312718MIMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Treatment Services, LLC Past Accepting new patients
Pinnacle Treatment Centers Oh-IX, LLC PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 2

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1073972519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S REYNOLDS RD STE C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156958",
            "telephone_number": "419-725-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S REYNOLDS RD STE C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-725-6631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4673 Washtenaw Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081301",
            "country_code": "US",
            "telephone_number": "734-544-1523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4673 Washtenaw Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081301",
            "country_code": "US",
            "telephone_number": "734-544-1523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "RHONDA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "4704312718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306669",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.