Individual provider Active NPI

Rodesia Howard

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1124622667
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1151292 Issued in TX
Practice address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone
(512) 318-2199
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28238409A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN-TEMP3607 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403920-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 266391 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2348902 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1151292 TX Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (512) 318-2199

Other names 1

  • Rodesia Edmundson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241010000908 TX Practitioner - Nurse Practitioner 7214342179 Reassigns benefits to 4 organizations
I20241205002652 NY Practitioner - Nurse Practitioner 7214342179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266391AZMDPsychiatric/Mental Health Nurse Practitioner
28238409AINMDPsychiatric/Mental Health Nurse Practitioner
RN-TEMP3607MAMDPsychiatric/Mental Health Nurse Practitioner
F403920-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Sep 9, 2024 Accepting new patients
The Community Integration Project Psychiatric/Mental Health CurrentSince Apr 2, 2025 Accepting new patients
Clifton-Fine Healthcare Corporation CurrentSince Nov 15, 2024 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Nov 1, 2024 Accepting new patients
Mentallogic Solutions PLLC Psychiatric/Mental Health Current Accepting new patients
Texana Center CurrentSince Sep 18, 2024 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Jul 22, 2025 Accepting new patients
Burke Center CurrentSince Oct 1, 2024 Accepting new patients
Burke Center PastSince Oct 1, 2024 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

1014 Oswegatchie Trail Rd
Star Lake, NY 13690
Phone (315) 848-3351

5900 Balcones Dr
Ste 100
Austin, TX 78731

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060

601 N Frio St
#1
San Antonio, TX 78207
Phone (210) 225-5481

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Organizations & group practices 9

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1124622667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "512-318-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "512-318-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "RODESIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28238409A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN-TEMP3607",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403920-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "266391",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2348902",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1151292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODESIA",
            "last_name": "EDMUNDSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.