Rhoda Alma David, NURSE PRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1083019 Issued in TX

Practice address

4102 Clear Creek Rd Ste 107
Killeen, TX 76549-5954

Phone

(254) 526-8300

Fax

(254) 526-4828

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Killeen Pediatric Care Clinic, P.a.

  • Specialist
  • Killeen, TX
  • NPI 1265470603
  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1154018539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 CLEAR CREEK RD STE 107",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495954",
            "telephone_number": "254-526-8300",
            "fax_number": "254-526-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 CLEAR CREEK RD STE 107",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495954",
            "telephone_number": "254-526-8300",
            "fax_number": "254-526-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "RHODA",
        "middle_name": "ALMA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1083019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Makenzie Danley
• Brook Dasher
• Isabelle Daskas, OD
• Dave E Webster D.O., PA
• David a. Stulman, PH.D., P.C.
• David'S Stone Contracting and Consultation LLC
• Ana Gabriela Davila
• Ashley Noemi Davila
• Letitia Nicole Davis Holliday, MASSAGE THERAPIST
• Tina Marie Davis-Cotton, MS, CCC/SLP

• Pediatric Nurse Practitioner in Killeen, TX
• Providers in Killeen, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.