Individual provider Active NPI

Rhonda Ann Clay, RN

  • Registered Nurse
  • Teec Nos Pos, AZ
National Provider Identifier
1689824476
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN134856 Issued in AZ
Practice address
HC 61 Box 30
JCT. U.S. Hwy 160 & Navajo Route 35-Red Mesa
Teec Nos Pos, AZ 86514-9600
Phone
(928) 656-5000
Fax
(928) 656-5164
NPI assigned
Sep 29, 2008
Last updated
Nov 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN134856 AZ Primary

Addresses

Primary practice location

HC 61 Box 30
JCT. U.S. Hwy 160 & Navajo Route 35-Red Mesa
Teec Nos Pos, AZ 86514-9600

Mailing address

HC 61 Box 30
Four Corners Regional Health Center
Teec Nos Pos, AZ 86514-9600
Phone (928) 656-5000

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN134856AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Shiprock Hospital Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1689824476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 30",
            "address_2": "FOUR CORNERS REGIONAL HEALTH CENTER",
            "city": "TEEC NOS POS",
            "state": "AZ",
            "postal_code": "865149600",
            "telephone_number": "928-656-5000",
            "fax_number": "928-656-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 30",
            "address_2": "JCT. U.S. HWY 160 & NAVAJO ROUTE 35-RED MESA",
            "city": "TEEC NOS POS",
            "state": "AZ",
            "postal_code": "865149600",
            "telephone_number": "928-656-5000",
            "fax_number": "928-656-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "RHONDA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN134856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teec Nos Pos, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.