Alexis Chanel Rhoden, CERTIFIED HAIR LOSS

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

D3691469 Issued in CA

Practice address

8818 La Mesa Blvd
La Mesa, CA 91942-5407

Phone

(619) 200-3186

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alexis Chanel Rhoden Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chanel'S Hair Boutique

  • Prosthetics Case Management
  • La Mesa, CA
  • NPI 1346754488
  NPD (past) Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1619489192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 OCEAN VIEW BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921132036",
            "telephone_number": "619-200-3186",
            "fax_number": "619-262-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8818 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425407",
            "telephone_number": "619-200-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODEN",
        "first_name": "ALEXIS",
        "middle_name": "CHANEL",
        "credential": "CERTIFIED HAIR LOSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "D3691469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "RHODEN",
            "middle_name": "CHANEL",
            "credential": "CERTIFIED HAIR LOSS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brenda Reynosa, RD
• Lauren Rezende, MPH, RD
• Scott Rhea, DPT
• Sonia Rhee, PHARM.D.
• Meagan Shea Rhoades
• Rhombus
• Rhombus
• Justin Rice, MFT TRAINEE
• Lawrence Stuart Rice, MD
• Richard B. Evans, D.D.S., Inc.

• Prosthetics Case Management in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.