Individual provider Active NPI

Rhonda Kay Oldham, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clay, KY
National Provider Identifier
1396545968
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4036244 Issued in KY
Practice address
140 Veterans Memorial Ave
Clay, KY 42404-2110
Phone
(270) 625-2223
NPI assigned
Mar 13, 2025
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4036244 KY Primary

Addresses

Primary practice location

140 Veterans Memorial Ave
Clay, KY 42404-2110

Mailing address

12410 S Jefferson St
Princeton, KY 42445-6051
Phone (270) 625-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250515002734 KY Practitioner - Nurse Practitioner 0648661033 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Little Brook Rd
West Wareham, MA 02576-1222

PO Box
Suite 1431
Charlotte, NC 28201

PO Box
Suite 1431
Charlotte, NC 28201-1431

PO Box
Suite 37
Providence, KY 42450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc CurrentSince May 1, 2025 Accepting new patients
Extended Care Specialists, Inc CurrentSince May 1, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc CurrentSince Oct 31, 2025 Accepting new patients
Eventus Ecs - Kentucky, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Regional Health Care Affiliates, Inc. CurrentSince Jan 22, 2026 Accepting new patients
Eventus WH Midwest Care, LLC CurrentSince Jan 3, 2026 Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Jan 22, 2026 Accepting new patients

Locations

922 State St
Fl 4
Bowling Green, KY 42101

140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

215 E Main St
#215
Providence, KY 42450

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pennyroyal Healthcare Services, IncPrinceton, KY, CCN 181912 Federally qualified health center Corporate Director Jan 10, 2018
Pennyroyal Healthcare Services, IncHopkinsville, KY, CCN 181931 Federally qualified health center Corporate Director Jan 10, 2018
Pennyroyal Healthcare Services, IncOak Grove, KY, CCN 181939 Federally qualified health center Corporate Director Jan 10, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1396545968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 S JEFFERSON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456051",
            "telephone_number": "270-625-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 VETERANS MEMORIAL AVE",
            "city": "CLAY",
            "state": "KY",
            "postal_code": "424042110",
            "telephone_number": "270-625-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "RHONDA",
        "middle_name": "KAY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4036244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay, KY

Sources for this page

Verify at the official NPI Registry.