Individual provider Active NPI

Rhonda Venise Edison, D.O.

  • Family Medicine Physician
  • Ephrata, WA
National Provider Identifier
1316048085
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60887927 Issued in WA
Practice address
314 Basin St SW
Ephrata, WA 98823-1850
Phone
(509) 663-8711
NPI assigned
Sep 26, 2006
Last updated
Jun 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP60887927 WA Primary

Addresses

Primary practice location

314 Basin St SW
Ephrata, WA 98823-1850

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Other identifiers 2

IdentifierTypeStateIssuer
0407601OtherWALABOR AND INDUSTRIES
2123630MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040428000621 AR Practitioner - Family Practice 3971590316 Practice locations: Pea Ridge, AR
I20190516001877 WA Practitioner - Family Practice 3971590316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520

501 S 5TH Ave
Yakima, WA 98902-3550

521 E Mountain View Ave
Ellensburg, WA 98926-3865
Phone (509) 962-1414

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60887927WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of Central Washington Family Medicine CurrentSince May 20, 2019 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jun 1, 2020 Accepting new patients
Wenatchee Valley Hospital Current Accepting new patients
Community Health of Central Washington CurrentSince May 20, 2019 Accepting new patients
Community Health of Central Washington Past Accepting new patients
Community Health of Central Washington Family Medicine Past Accepting new patients
Hometown Healthcare of Desoto LLC PastSince Mar 8, 2011 Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients
Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA Family Medicine Past Accepting new patients

Locations

521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414

314 Basin St SW
Ephrata, WA 98823
Phone (509) 745-7186

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263

402 S 12th Ave
Bsmt
Yakima, WA 98902

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

Interoperability endpoints

  • Direct secure messaging: redison606022@direct.ochin.org

Organizations & group practices 9

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 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1316048085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 BASIN ST SW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231850",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDISON",
        "first_name": "RHONDA",
        "middle_name": "VENISE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60887927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0407601",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123630",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, WA

Sources for this page

Verify at the official NPI Registry.