Organization Active NPI

Rhea J Jeffers Aprn-CNP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1194491993
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RHEA J JEFFERS APRN-CNP LLC
Practice address
3085 Woodman Dr
Suite 205
Kettering, OH 45420-1171
Phone
(937) 502-1069
Fax
(937) 660-6422
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Rhea J Jeffers, APRN-CNP
Title
Owner
Phone
(937) 239-5644

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3085 Woodman Dr
Suite 205
Kettering, OH 45420-1171

Mailing address

3085 Woodman Dr Ste 205
Kettering, OH 45420-1171
Phone (937) 502-1069

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rheajjeffersaprn-cnpllc.org Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1194491993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 205",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201171",
            "telephone_number": "937-502-1069",
            "fax_number": "937-660-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR",
            "address_2": "SUITE 205",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201171",
            "telephone_number": "937-502-1069",
            "fax_number": "937-660-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEA J JEFFERS APRN-CNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "RHEA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-239-5644",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rheajjeffersaprn-cnpllc.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rheajjeffersaprn-cnpllc.org",
            "address_1": "3085 Woodman Dr",
            "address_2": "Suite 205",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454201171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.