Organization Active NPI

Rhonda Terese Rushing LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1205577251
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RHONDA TERESE RUSHING LLC
Practice address
1106 Stubbs Ave Ste B
Monroe, LA 71201-5641
Phone
(318) 303-3077
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Rhonda Terese Rushing, PMHNP-BCNPI 1942894464
Title
Owner
Phone
(318) 303-3077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1106 Stubbs Ave Ste B
Monroe, LA 71201-5641

Mailing address

130 S Ridge Rd
Rayville, LA 71269-7671
Phone (318) 235-1451

Other identifiers 1

IdentifierTypeStateIssuer
2573373MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230905002342 LA Part B Supplier - Clinic/Group Practice 1456714757 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA; West Monroe, LA

National Provider Directory

National Provider Directory
Tax ID family
Genesis Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

1500 N 19th St
Ste 5
Monroe, LA 71201
Phone (318) 303-3077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1205577251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S RIDGE RD",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712697671",
            "telephone_number": "318-235-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 STUBBS AVE STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015641",
            "telephone_number": "318-303-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHONDA TERESE RUSHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "TERESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-303-3077",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2573373",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.