Individual provider Active NPI

Lisa J Rhode, N.P.

  • Family Nurse Practitioner
  • West Hills, CA
National Provider Identifier
1639131600
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN396332 Issued in CA
Practice address
7325 Medical Center Dr
West Hills, CA 91307-1925
Phone
(818) 226-3666
Fax
(818) 992-6853
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN396332 CA Primary

Addresses

Primary practice location

7325 Medical Center Dr
West Hills, CA 91307-1925

Mailing address

6058 Alexandra CT
Oak Park, CA 91377-5834
Phone (818) 865-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211003311 ID Practitioner - Nurse Practitioner 6406041219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN396332CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Sense Corporation CurrentSince Nov 20, 2024 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1075 N Curtis Rd
Ste 100
Boise, ID 83706
Phone (208) 377-5166

Interoperability endpoints

  • Direct secure messaging: lisa.rhode.1@23258.direct.athenahealth.com

Organizations & group practices 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1639131600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058 ALEXANDRA CT",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913775834",
            "telephone_number": "818-865-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 MEDICAL CENTER DR",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071925",
            "telephone_number": "818-226-3666",
            "fax_number": "818-992-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODE",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN396332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.