Nicole Rhodes, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH07171 Issued in PA

Practice address

590 Indian Springs Rd
Indiana, PA 15701-3600

Phone

(724) 465-6100

Fax

(724) 465-6110

NPI assigned

Jun 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Matson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1639661028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-465-6100",
            "fax_number": "724-465-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 INDIAN SPRINGS RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013600",
            "telephone_number": "724-465-6100",
            "fax_number": "724-465-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Pinnacle Dr",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162143800",
            "country_code": "US",
            "telephone_number": "814-223-9906",
            "fax_number": "814-223-9912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "NICOLE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH07171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035011550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MATSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Repine Compression Management
• Katie L. Respet, CRNA
• Frankielynn Retort
• Revival Therapy LLC
• Amy Rhoades, MSW, LCSW, BSN, RN
• Bobbie Jo Rice, BS
• Christina Marie Richardson, BA
• Jennifer Rising, M.S., CCC-SLP
• Rite Aid of Pennsylvania LLC
• Ryan Rivosecchi

• Dental Hygienist in Indiana, PA
• Providers in Indiana, PA by specialty
• Dental Hygienist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.