Individual provider Active NPI

Alison Inez Rhodeman, LPN

  • Licensed Practical Nurse
  • Albuquerque, NM
National Provider Identifier
1346379104
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
67359 Issued in NM
Practice address
377TH Medical Group 1501 San Pedro Street Building 47
Albuquerque, NM 87117-5291
Phone
(505) 846-1016
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 67359 NM Primary

Addresses

Primary practice location

377TH Medical Group 1501 San Pedro Street Building 47
Albuquerque, NM 87117-5291

Mailing address

7915B 45TH Ave SE
Albuquerque, NM 87116-5506
Phone (602) 620-9691

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
67359NMMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dysart Unified School District 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1346379104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915B 45TH AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871165506",
            "telephone_number": "602-620-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377TH MEDICAL GROUP 1501 SAN PEDRO STREET BUILDING 47",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871175291",
            "telephone_number": "505-846-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODEMAN",
        "first_name": "ALISON",
        "middle_name": "INEZ",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "67359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.