Individual provider Active NPI

Tamara Kay Rhodes, NP,AGACNP

  • Nurse Practitioner
  • Whitesville, KY
National Provider Identifier
1306452867
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3015166 Issued in KY
Practice address
10015 Main St
Whitesville, KY 42378-9557
Phone
(270) 233-1884
NPI assigned
Sep 21, 2020
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3015166 KY Primary

Addresses

Primary practice location

10015 Main St
Whitesville, KY 42378-9557

Mailing address

8425 Joe Haynes Rd
Whitesville, KY 42378-9732
Phone (270) 315-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019000311 KY Practitioner - Nurse Practitioner 8820418569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians

Practice addresses (Care Compare)

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (615) 312-0600

8425 Joe Haynes Rd
Whitesville, KY 42378-9732
Phone (708) 915-5671

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3015166KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Family Medicine, LLC CurrentSince Nov 15, 2020 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC CurrentSince Dec 4, 2023 Accepting new patients
Radiology Alliance PC Nurse Practitioner PastSince Sep 27, 2020 Accepting new patients

Locations

1937 Momentum Pl
Chicago, IL 60689

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

811 E Parrish Ave
Owensboro, KY 42303
Phone (270) 684-8611

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

10015 Main St
Whitesville, KY 42378
Phone (270) 233-1884

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1306452867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 JOE HAYNES RD",
            "city": "WHITESVILLE",
            "state": "KY",
            "postal_code": "423789732",
            "telephone_number": "270-315-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 MAIN ST",
            "city": "WHITESVILLE",
            "state": "KY",
            "postal_code": "423789557",
            "telephone_number": "270-233-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "TAMARA",
        "middle_name": "KAY",
        "credential": "NP,AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesville, KY

Sources for this page

Verify at the official NPI Registry.