Individual provider Active NPI

Rhonda Renee Woodside, MSN, APRN

  • Adult Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1215362546
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R46757 Issued in ND
Practice address
401 E 10TH Ave Ste 330
Eugene, OR 97401-3357
Phone
(877) 522-1275
NPI assigned
Sep 5, 2013
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111766 NE
Adult Health Nurse Practitioner 363LA2200X R46757 ND Primary

Addresses

Primary practice location

401 E 10TH Ave Ste 330
Eugene, OR 97401-3357

Mailing address

500 SW 7TH St Stea205
Renton, WA 98057
Phone (877) 522-1275

Other practice location 1

1 Serenity Ln
Coburg, OR 97408-9350
Phone (541) 687-1110

Other identifiers 4

IdentifierTypeStateIssuer
10025734000MedicaidNE
47075636930MedicaidNE
10026038300MedicaidNE
47075636998MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ND, WA, OR4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20181218001870 MT Practitioner - Nurse Practitioner 3779806484 Reassigns benefits to 2 organizations
I20181218002393 ND Practitioner - Nurse Practitioner 3779806484 Reassigns benefits to 2 organizations
I20190723001915 WA Practitioner - Nurse Practitioner 3779806484 Reassigns benefits to 2 organizations
I20191218002597 OR Practitioner - Nurse Practitioner 3779806484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians

Practice addresses (Care Compare)

105 26TH St E
Williston, ND 58801-3013
Phone (877) 522-1275

1221 W Divide Ave
Suite 202
Bismarck, ND 58501-1224
Phone (877) 522-1275

1318 NW 9TH St
Suite B
Corvallis, OR 97330-4565
Phone 87752212753049

500 SW 7TH St
Suite A205
Renton, WA 98057-2983

834 S Montana St
Butte, MT 59701-2836
Phone 87752212753049

8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone (509) 222-1275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R46757NDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC PastSince Sep 3, 2025 Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients
Serenity Lane PastSince Aug 18, 2024 Accepting new patients

Locations

1523 Wyoming Ave
Billings, MT 59102
Phone (406) 248-3175

617 10th Ave S
Great Falls, MT 59405
Phone (406) 727-9330

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049

5615 Dunbarton Ave
Pasco, WA 99301
Phone 50922212752123

500 SW 7th St
Ste A104
Renton, WA 98057

500 SW 7th St
Ste A205
Renton, WA 98057

208 E Francis Ave
Spokane, WA 99208
Phone (509) 489-2372

1215 N McDonald Rd
Ste 201
Spokane Valley, WA 99216
Phone (509) 926-1559

Organizations & group practices 7

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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1215362546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STEA205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "877-522-1275",
            "fax_number": "509-491-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 10TH AVE STE 330",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013357",
            "telephone_number": "877-522-1275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Serenity Ln",
            "address_purpose": "LOCATION",
            "city": "Coburg",
            "state": "OR",
            "postal_code": "974089350",
            "country_code": "US",
            "telephone_number": "541-687-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODSIDE",
        "first_name": "RHONDA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111766",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ND",
            "license": "R46757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025734000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075636930",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026038300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075636998",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.