Individual provider Active NPI

Rhonda E Whybrew, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Newport, AR
National Provider Identifier
1497862775
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1124 Issued in AR
Practice address
1122 Malcolm Ave
Newport, AR 72112-3506
Phone
(870) 523-2225
Fax
(870) 523-9000
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1124 AR Primary

Addresses

Primary practice location

1122 Malcolm Ave
Newport, AR 72112-3506

Mailing address

1122 Malcolm Ave
Newport, AR 72112-3506
Phone (870) 523-2225

Other practice location 1

1411 Marketplace Dr Ste B
Jonesboro, AR 72401-5232
Phone (870) 972-0444

Other identifiers 1

IdentifierTypeStateIssuer
114324718MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090302000361 AR Practitioner - Chiropractic 0042376964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality ChiropracticGroup PAC ID 6305289794, 2 clinicians

Practice addresses (Care Compare)

1122 Malcolm Ave
Newport, AR 72112-3506
Phone (870) 523-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1124ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Chiropractic Chiropractor CurrentSince Aug 25, 2024 Accepting new patients

Locations

1411 Marketplace Dr
Ste B
Jonesboro, AR 72401
Phone (870) 523-2225

1122 Malcolm Ave
Newport, AR 72112
Phone (870) 523-2225

Organizations & group practices 1

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1497862775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MALCOLM AVE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123506",
            "telephone_number": "870-523-2225",
            "fax_number": "870-523-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 MALCOLM AVE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123506",
            "telephone_number": "870-523-2225",
            "fax_number": "870-523-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Marketplace Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724015232",
            "country_code": "US",
            "telephone_number": "870-972-0444",
            "fax_number": "870-523-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHYBREW",
        "first_name": "RHONDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114324718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.