Active NPI
Jaquale Rhodes
- Community Health Worker
- Muskegon, MI
National Provider Identifier
1255864807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 349 Jackson Ave
Muskegon, MI 49442-1114 - Phone
- (616) 259-2397
- NPI assigned
- Apr 10, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
349 Jackson Ave
Muskegon, MI 49442-1114
Mailing address
349 Jackson Ave
Muskegon, MI 49442-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77498 | Other | MI | INDEPENDENT CONTRACTOR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaquale Rhodes | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Muskegon, MI
- NPI 1457884009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1255864807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 JACKSON AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494421114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 JACKSON AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494421114",
"telephone_number": "616-259-2397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "JAQUALE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT CONTRACTOR",
"identifier": "77498",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.