Active NPI
Rodesia Howard
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1151292
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 266391 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 28238409A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN-TEMP3607 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| F403920-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bexar County Board of Trustees for Mental Health Mental Retardation | Current | Accepting new patients | |
| The Community Integration Project | Psychiatric/Mental Health | Current | Accepting new patients |
| Clifton-Fine Healthcare Corporation | Current | Accepting new patients | |
| Heart of Texas Region MHMR Center | Current | Accepting new patients | |
| Mentallogic Solutions PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Texana Center | Current | Accepting new patients | |
| Valera Medical, P.C. | Psychiatric/Mental Health | Current | Accepting new patients |
| Burke Center | Current | Accepting new patients | |
| Burke Center | Past | 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.
-
- Counselor
- San Antonio, TX
- NPI 1730134586
-
- Psychiatry Physician
- Lufkin, TX
- NPI 1396792420
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waco, TX
- NPI 1639399132
-
- Psychiatric/Mental Health Nurse Practitioner
- Porter, TX
- NPI 1225540701
-
- Rural Acute Care Hospital
- Star Lake, NY
- NPI 1235184649
-
- Multi-Specialty Clinic/Center
- Rosenberg, TX
- NPI 1912954058
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1760202071
-
- Developmental Disabilities Clinic/Center
- Lufkin, TX
- NPI 1164572772
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.