Individual provider Active NPI

Michele Rhodes, ADVANCED PRACTICE NU

  • Family Nurse Practitioner
  • Prescott, AR
National Provider Identifier
1154411379
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A01789 Issued in AR
Practice address
1501 West First Street
Ark Department of Health and Human Services
Prescott, AR 71857
Phone
(870) 887-2004
Fax
(870) 887-6407
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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 A01789 AR Primary

Addresses

Primary practice location

1501 West First Street
Ark Department of Health and Human Services
Prescott, AR 71857

Mailing address

419 E 4TH St N
Prescott, AR 71857-2253
Phone (870) 887-3996

Other identifiers 1

IdentifierTypeStateIssuer
440126201MedicaidAR

Other names 1

  • Mrs. Michele Hamilton Rhodes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20150213000143 AR Practitioner - Nurse Practitioner 0042441958

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01789ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Arkansas Past Accepting new patients

Organizations & group practices 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1154411379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E 4TH ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718572253",
            "telephone_number": "870-887-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WEST FIRST STREET",
            "address_2": "ARK DEPARTMENT OF HEALTH AND HUMAN SERVICES",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "71857",
            "telephone_number": "870-887-2004",
            "fax_number": "870-887-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "ADVANCED PRACTICE NU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440126201",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "RHODES",
            "middle_name": "HAMILTON",
            "prefix": "MRS.",
            "credential": "ADVANCED PRACTICE NU",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Prescott, AR

Sources for this page

Verify at the official NPI Registry.