Individual provider Active NPI

Jena Lyn Rhodes, FNP

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1073983102
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129022 Issued in TX
Practice address
4604 NE Stallings Dr
Nacogdoches, TX 75965-1608
Phone
(936) 560-5668
NPI assigned
Oct 1, 2015
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129022 TX Primary

Addresses

Primary practice location

4604 NE Stallings Dr
Nacogdoches, TX 75965-1608

Mailing address

2702 N University Dr
Nacogdoches, TX 75965-2922
Phone (936) 585-4130

Other practice location 1

2702 N University Dr
Nacogdoches, TX 75965-2922
Phone (936) 585-4130

Other identifiers 1

IdentifierTypeStateIssuer
352023101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209001249 TX Practitioner - Nurse Practitioner 0941501399 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP129022TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Community Health Services, Inc. Family CurrentSince Aug 1, 2024 Accepting new patients
Texas Quick Care, LLC CurrentSince Mar 1, 2016 Accepting new patients
Texas Quick Care, LLC CurrentSince Mar 1, 2016 Accepting new patients
Lavender and Lace Birth & Womens Health Services PLLC Past Accepting new patients
East Texas Community Health Services, Inc PastSince Dec 21, 2025 Accepting new patients

Locations

233 Hurst St
Center, TX 75935
Phone (936) 591-8171

1309 S University Dr
Nacogdoches, TX 75961
Phone (936) 560-5668

4604 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 559-8770

Interoperability endpoints

  • Direct secure messaging: jena.rhodes.1@13578.direct.athenahealth.com
  • Direct secure messaging: jena.rhodes.p65@direct.tenet.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1073983102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652922",
            "telephone_number": "936-585-4130",
            "fax_number": "936-585-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651608",
            "telephone_number": "936-560-5668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2702 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759652922",
            "country_code": "US",
            "telephone_number": "936-585-4130",
            "fax_number": "936-585-4134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "JENA",
        "middle_name": "LYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352023101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.