Individual provider Active NPI

Rhonda Lynette Johnson

  • Prosthetics Case Management
  • Chester, VA
National Provider Identifier
1215599576
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
131646 Issued in VA
Practice address
12108 Bermuda Crossroad LN Ste 21
Chester, VA 23831-2452
Phone
(804) 229-0420
NPI assigned
Jul 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X 131646 VA Primary

Addresses

Primary practice location

12108 Bermuda Crossroad LN Ste 21
Chester, VA 23831-2452

Mailing address

12108 Bermuda Crossroad LN Ste 21
Chester, VA 23831-2452
Phone (804) 229-0420

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chester

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
131646VAMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Hair Affair LLC Prosthetics Case Management PastSince Apr 26, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1215599576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 BERMUDA CROSSROAD LN STE 21",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312452",
            "telephone_number": "804-229-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12108 BERMUDA CROSSROAD LN STE 21",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312452",
            "telephone_number": "804-229-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RHONDA",
        "middle_name": "LYNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "VA",
            "license": "131646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chester",
            "affiliation": "N",
            "address_1": "12108 Bermuda Crossroad Ln Ste 21",
            "city": "Chester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238312452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.