Individual provider Active NPI

Rhonda R Dickey, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1255446589
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
201588 Issued in LA
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

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1013099MedicaidLA
705439182AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824001050 LA Practitioner - Pediatric Medicine 3870519507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
056819GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.