Individual provider Active NPI

Rondi Kylian Noden, MSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1548966914
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2111 W Swann Ave Ste And202
Tampa, FL 33606-2477
Phone
(813) 437-0640
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2111 W Swann Ave Ste And202
Tampa, FL 33606-2477

Mailing address

16301 Bridgeglade LN
Lithia, FL 33547-4870
Phone (720) 315-9682

Other practice location 1

16301 Bridgeglade Ln
Lithia, FL 33547-4870
Phone (813) 421-0771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 27, 2026 through Jun 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1548966914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16301 BRIDGEGLADE LN",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474870",
            "telephone_number": "720-315-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W SWANN AVE STE AND202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062477",
            "telephone_number": "813-437-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16301 Bridgeglade Ln",
            "address_purpose": "LOCATION",
            "city": "Lithia",
            "state": "FL",
            "postal_code": "335474870",
            "country_code": "US",
            "telephone_number": "813-421-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NODEN",
        "first_name": "RONDI",
        "middle_name": "KYLIAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.