Active NPI
Beronica K. Rhodes
- Primary Care Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1407799372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 222261
- Practice address
- 3120 W Carefree Hwy Ste 1-119
Phoenix, AZ 85086-3201 - Phone
- (928) 304-3319
- NPI assigned
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 222261 | AZ | Primary |
Addresses
Primary practice location
3120 W Carefree Hwy Ste 1-119
Phoenix, AZ 85086-3201
Mailing address
3120 W Carefree Hwy Ste 1-119
Phoenix, AZ 85086-3201
Phone (928) 304-3319
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
| License | State | Type | Specialty |
|---|---|---|---|
| 222261 | AZ | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1407799372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 W CAREFREE HWY STE 1-119",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850863201",
"telephone_number": "928-304-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 W CAREFREE HWY STE 1-119",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850863201",
"telephone_number": "928-304-3319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "BERONICA",
"middle_name": "K.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "222261",
"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 Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.