Active NPI
Phyllis Wanda Rhymes-Johnson, ARNP,MSN,DHS-STUDENT
- Adult Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1437201605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1060592
- Practice address
- Jackson Health System - 1611 N.W. 12TH Avenue
Device Center - WW 407
Miami, FL 33169 - Phone
- (305) 585-7443
- Fax
- (305) 585-6872
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1060592 | FL | Primary |
Addresses
Primary practice location
Jackson Health System - 1611 N.W. 12TH Avenue
Device Center - WW 407
Miami, FL 33169
Mailing address
870 N.W. 177TH Terrace
Miami, FL 33169
Phone (305) 793-9612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20006 | Other | FL | JACKSON HEALTH SYSTEM ID |
Other names 1
- Ms. Phyllis Wanda Rhymes
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1060592 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437201605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 N.W. 177TH TERRACE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33169",
"telephone_number": "305-793-9612",
"fax_number": "305-653-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JACKSON HEALTH SYSTEM - 1611 N.W. 12TH AVENUE",
"address_2": "DEVICE CENTER - WW 407",
"city": "MIAMI",
"state": "FL",
"postal_code": "33169",
"telephone_number": "305-585-7443",
"fax_number": "305-585-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHYMES-JOHNSON",
"first_name": "PHYLLIS",
"middle_name": "WANDA",
"name_prefix": "Mrs.",
"credential": "ARNP,MSN,DHS-STUDENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "1060592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JACKSON HEALTH SYSTEM ID",
"identifier": "20006",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PHYLLIS",
"last_name": "RHYMES",
"middle_name": "WANDA",
"prefix": "MS.",
"credential": "ARNP,MSN,DHS-STUDENT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.