Active NPI
Michele Rhodes, ADVANCED PRACTICE NU
- Family Nurse Practitioner
- Prescott, AR
National Provider Identifier
1154411379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A01789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440126201 | Medicaid | AR |
Other names 1
- Mrs. Michele Hamilton Rhodes
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150213000143 | AR | Practitioner - Nurse Practitioner | 0042441958 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01789 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.