Rhonda Renee Wynn, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

164X00000X Issued in TX

Practice address

10498 Fountain Lake Dr
# 413
Stafford, TX 77477-3758

Phone

(281) 851-6457

Fax

(281) 302-5964

NPI assigned

Jun 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Navale Revolution Living

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Stafford, TX
  • NPI 1902627870
  NPD Authorized official

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1235399569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10498 FOUNTAIN LAKE DR",
            "address_2": "# 413",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773758",
            "telephone_number": "281-851-6457",
            "fax_number": "281-302-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10498 FOUNTAIN LAKE DR",
            "address_2": "# 413",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773758",
            "telephone_number": "281-851-6457",
            "fax_number": "281-302-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "RHONDA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "164X00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La'Deja Woods
• Cynthia Wooldridge, LBSW
• Cornelious Wright Jr., LVN
• Tricia J Wright, M.S. CCC-SLP
• Elizabeth Curry Wyatt
• Kyoko Wyrick, LMSW
• Lazaro Alexander Yero Zamora, APRN
• Evangelina York
• Amy Young, CCC-SLP
• Jamey Letrise Young, LVN

• Licensed Vocational Nurse in Stafford, TX
• Providers in Stafford, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.