Individual provider Active NPI

Charmaine Rhodes

  • Other Technician
  • Phoenix, AZ
National Provider Identifier
1336926104
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
2748575 Issued in AZ
Practice address
18635 N 35TH Ave Ste 109
Phoenix, AZ 85027-6183
Phone
(623) 455-9807
Fax
(623) 248-6729
NPI assigned
Sep 13, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 2748575 AZ Primary

Addresses

Primary practice location

18635 N 35TH Ave Ste 109
Phoenix, AZ 85027-6183

Mailing address

18635 N 35TH Ave Ste 109
Phoenix, AZ 85027-6183
Phone (623) 455-9807

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

State licenses

LicenseStateTypeSpecialty
2748575AZMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Dot Testing LLC Technician, Other CurrentSince Apr 21, 2024 Accepting new patients

Locations

18635 N 35th Ave
Ste 109
Phoenix, AZ 85027
Phone (623) 455-9807

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.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1336926104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18635 N 35TH AVE STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850276183",
            "telephone_number": "623-455-9807",
            "fax_number": "623-248-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18635 N 35TH AVE STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850276183",
            "telephone_number": "623-455-9807",
            "fax_number": "623-248-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "CHARMAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "AZ",
            "license": "2748575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.