Individual provider Active NPI

Phyllis Wanda Rhymes-Johnson, ARNP,MSN,DHS-STUDENT

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1437201605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1060592 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20006OtherFLJACKSON HEALTH SYSTEM ID

Other names 1

  • Ms. Phyllis Wanda Rhymes Other name

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

LicenseStateTypeSpecialty
1060592FLMDAdult 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.

Verify at the official NPI Registry.