Active NPI
Carol Lynn Rhoads, CRNA
- Certified Registered Nurse Anesthetist
- Ada, OK
National Provider Identifier
1528050291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0080710
- Practice address
- 1921 Stonecipher Dr
Chickasaw Nation Health System
Ada, OK 74820-3439 - Phone
- (580) 421-6248
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0080710 | OK | Primary |
Addresses
Primary practice location
1921 Stonecipher Dr
Chickasaw Nation Health System
Ada, OK 74820-3439
Mailing address
1921 Stonecipher Dr
Chickasaw Nation Health System
Ada, OK 74820-3439
Phone (580) 421-6248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200034720B | Medicaid | OK |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0080710 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Physician Services LLC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Piedmont Hendersonville Anesthesia Consultants PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Anesthesiology Physician
- Lawton, OK
- NPI 1083640601
-
- Anesthesiology Physician
- Hendersonville, NC
- NPI 1063482107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1528050291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 STONECIPHER DR",
"address_2": "CHICKASAW NATION HEALTH SYSTEM",
"city": "ADA",
"state": "OK",
"postal_code": "748203439",
"telephone_number": "580-421-6248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 STONECIPHER DR",
"address_2": "CHICKASAW NATION HEALTH SYSTEM",
"city": "ADA",
"state": "OK",
"postal_code": "748203439",
"telephone_number": "580-421-6248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADS",
"first_name": "CAROL",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0080710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200034720B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.