Individual provider Active NPI

Rhonda Lynn Lokireddy, NP-C

  • Family Nurse Practitioner
  • Howard Beach, NY
National Provider Identifier
1184934879
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338647 Issued in NY
Practice address
157-05 Cross Bay Blvd
Howard Beach, NY 11414-2748
Phone
(718) 677-3871
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338647 NY Primary
Family Nurse Practitioner 363LF0000X 700623 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402447 NY

Addresses

Primary practice location

157-05 Cross Bay Blvd
Howard Beach, NY 11414-2748

Mailing address

157-05 Cross Bay Blvd
Howard Beach, NY 11414-1829
Phone (718) 848-4507

Other practice location 1

864 Third Ave
Franklin Square, NY 11010-1829
Phone (516) 263-5105

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
I20111028000039 TX Practitioner - Nurse Practitioner 8325226004 Reassigns benefits to 1 organization
I20140502000767 NY Practitioner - Nurse Practitioner 8325226004 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338647NYMDPlastic and Reconstructive Surgery Physician
700623TXMDFamily Nurse Practitioner
F402447NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 16, 2024 Accepting new patients
Rhonda Lokireddy Psychiatric Nurse Practitioner and Family NP, PC. Psychiatric/Mental Health PastSince Mar 4, 2021 Accepting new patients
CVS Albany LLC PastSince Sep 13, 2020 Accepting new patients
Memorial Endocrinology and Diabetes PastSince Feb 19, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 4

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1184934879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157-05 CROSS BAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141829",
            "telephone_number": "718-848-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157-05 CROSS BAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142748",
            "telephone_number": "718-677-3871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "864 Third Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin Square",
            "state": "NY",
            "postal_code": "110101829",
            "country_code": "US",
            "telephone_number": "516-263-5105",
            "fax_number": "516-714-3833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOKIREDDY",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338647",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "700623",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

Verify at the official NPI Registry.