Active NPI
Jacqueline Kay Rhodes, PHD
- Psychologist
- Lincoln, NE
National Provider Identifier
1215911656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 436
- Practice address
- 7441 O St
Ste 402
Lincoln, NE 68510-2466 - Phone
- (402) 483-4215
- Fax
- (402) 483-5228
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 436 | NE | Primary |
Addresses
Primary practice location
7441 O St
Ste 402
Lincoln, NE 68510-2466
Mailing address
3923 N 269TH Cir
Valley, NE 68064-4435
Phone (402) 504-4101
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5906 | Other | NE | MIDLANDS CHOICE |
| 620005771 | Other | NE | RAILROAD MEDICARE |
| 777645000 | Medicaid | NE | |
| 08002 | Other | NE | BCBS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 436 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1215911656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 N 269TH CIR",
"city": "VALLEY",
"state": "NE",
"postal_code": "680644435",
"telephone_number": "402-504-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7441 O ST",
"address_2": "STE 402",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102466",
"telephone_number": "402-483-4215",
"fax_number": "402-483-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "JACQUELINE",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "5906",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "620005771",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777645000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08002",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.