Active NPI
Rhonda R Dickey, M.D.
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1255446589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 201588
- Practice address
- 15823 Ironside Creek Dr
Houston, TX 77053-3412 - Phone
- (832) 689-5845
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 056819 | GA | |
| Pediatrics Physician | 208000000X | 201588 | LA | Primary |
Addresses
Primary practice location
15823 Ironside Creek Dr
Houston, TX 77053-3412
Mailing address
15823 Ironside Creek Dr
Houston, TX 77053-3412
Phone (832) 689-5845
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013099 | Medicaid | LA | |
| 705439182A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056819 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MQVN Community Development Corporation | Past | Accepting new patients | |
| McKinney Community Health Ctr, Inc | Past | Accepting new patients | |
| McKinney Medical Center Inc | Past | Accepting new patients |
Interoperability endpoints
- rhonda.dickey.1@12149.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Daughters of Charity Health Center - Metairie
- Primary Care Clinic/Center
- Metairie, LA
- NPI 1396059796
-
- Federally Qualified Health Center (FQHC)
- Blackshear, GA
- NPI 1568623346
-
dba Mckinney Community Health Center
- Federally Qualified Health Center (FQHC)
- Alma, GA
- NPI 1134454911
-
dba NOELA Community Health Center
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1679875744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1255446589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15823 IRONSIDE CREEK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770533412",
"telephone_number": "832-689-5845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15823 IRONSIDE CREEK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770533412",
"telephone_number": "832-689-5845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "RHONDA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "056819",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "201588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013099",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "705439182A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.