Individual provider Active NPI

Rhonda Lynn Chadwell, P.A.-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1205981602
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102611 Issued in FL
Practice address
9400 University Pkwy
Ste 306
Pensacola, FL 32514-5752
Phone
(850) 476-0559
Fax
(850) 476-0599
NPI assigned
Jan 24, 2007
Last updated
Mar 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102611 FL Primary

Addresses

Primary practice location

9400 University Pkwy
Ste 306
Pensacola, FL 32514-5752

Mailing address

PO Box 553
Cantonment, FL 32533-0553
Phone (850) 476-0559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9102611FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cantonment Family Medicine PA 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1205981602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 553",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325330553",
            "telephone_number": "850-476-0559",
            "fax_number": "850-476-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "STE 306",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-476-0559",
            "fax_number": "850-476-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWELL",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.