Individual provider Active NPI

Dustin Rhodes

  • Nurse Practitioner
  • Lake Jackson, TX
National Provider Identifier
1356804496
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142555 Issued in TX
Practice address
101 Winding Way St Ste a
Lake Jackson, TX 77566-5358
Phone
(281) 783-8162
NPI assigned
Apr 6, 2019
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 AP142555 TX Primary

Addresses

Primary practice location

101 Winding Way St Ste a
Lake Jackson, TX 77566-5358

Mailing address

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-5000

Other practice location 1

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200102002686 TX Practitioner - Nurse Practitioner 5294169066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17400 St Lukes Way
CHI St Lukes Health Lakeside Hos
The Woodlands, TX 77384-8036
Phone (936) 266-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Aug 24, 2024 Accepting new patients
Ut Physicians Nurse Practitioner CurrentSince Jan 21, 2020 Accepting new patients
Nluc PLLC CurrentSince Aug 24, 2024 Accepting new patients
Next Level MV LLC CurrentSince Aug 24, 2024 Accepting new patients
Ut Physicians CurrentSince Jan 21, 2020 Accepting new patients
Nluc PLLC CurrentSince Aug 24, 2024 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Sep 7, 2024 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

101 Winding Way St
Ste A
Lake Jackson, TX 77566

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

4002 FM 762 Rd
Ste 100
Rosenberg, TX 77469

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055

Interoperability endpoints

  • Direct secure messaging: drhodes458150@direct.stlukeshealth.org

Organizations & group practices 7

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": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1356804496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 KELLEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770261967",
            "telephone_number": "713-566-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WINDING WAY ST STE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665358",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5656 Kelley St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770261967",
            "country_code": "US",
            "telephone_number": "713-566-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-06",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.