Meagan Shea Rhoades

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95024626 Issued in CA

Practice address

5332 Jackson Dr
La Mesa, CA 91942-3040

Phone

(619) 416-2771

NPI assigned

May 8, 2009

Reactivated

May 3, 2021

Last updated

Jun 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCEDDD/Endpoint/GCEDDD

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1336373117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 B ST #1570",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-615-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 JACKSON DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423040",
            "telephone_number": "619-416-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3853 Rosecrans St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92110",
            "country_code": "US",
            "telephone_number": "619-615-0439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28999 Old Town Front St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925902842",
            "country_code": "US",
            "telephone_number": "951-261-8392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "MEAGAN",
        "middle_name": "SHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "deactivation_date": "2021-04-04",
        "reactivation_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024626",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "7228",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "RU95244615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Beth Reynolds II
• Brenda Reynosa, RD
• Lauren Rezende, MPH, RD
• Scott Rhea, DPT
• Sonia Rhee, PHARM.D.
• Alexis Chanel Rhoden, CERTIFIED HAIR LOSS
• Rhombus (La Mesa Counseing)
• Rhombus (La Mesa Counseling)
• Justin Rice, MFT TRAINEE
• Lawrence Stuart Rice, MD

• Psychiatric/Mental Health Nurse Practitioner in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.

Verify at the official NPI Registry.