Individual provider Active NPI

Victoria F Rhodes, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1437200581
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5704 Issued in AZ
Practice address
4600 E Shea Blvd Ste 100
Phoenix, AZ 85028-6031
Phone
(602) 955-8700
Fax
(602) 553-8142
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50-00-0308 OH
Physician Assistant 363A00000X 5704 AZ Primary

Addresses

Primary practice location

4600 E Shea Blvd Ste 100
Phoenix, AZ 85028-6031

Mailing address

4600 E Shea Blvd Ste 100
Phoenix, AZ 85028-6031
Phone (602) 955-8700

Other identifiers 2

IdentifierTypeStateIssuer
000000219634OtherOHANTHEM
2759233OtherNCMEDICARE IND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140814000513 AZ Practitioner - Physician Assistant 4789751090 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5704AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
John R Madison MD, Inc Past Accepting new patients
Sun Lakes Family Physicians LLC PastSince May 1, 2001 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1482/brand/1/csg/1/fhir/r4
  • Direct secure messaging: victoria.rhodes.1@1482.direct.athenahealth.com

Organizations & group practices 5

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437200581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 E SHEA BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286031",
            "telephone_number": "602-955-8700",
            "fax_number": "602-553-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E SHEA BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286031",
            "telephone_number": "602-955-8700",
            "fax_number": "602-553-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "VICTORIA",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-03-07",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50-00-0308",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000219634",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND",
            "identifier": "2759233",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.