Rhonda R Cowan, DNP,A-GNP-C,PHCNS-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP2014502 Issued in FL

Practice address

4332 Bayou Ridge Dr
Pace, FL 32571-8647

Phone

(850) 994-6076

NPI assigned

Jul 6, 2016

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Advantage Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1942270558
  Medicare reassignment NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1699127365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 BAYOU RIDGE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718647",
            "telephone_number": "850-994-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 BAYOU RIDGE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718647",
            "telephone_number": "850-994-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "RHONDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DNP,A-GNP-C,PHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2014502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Alese Cooper, PHARMD
• Lori Noelle Corley, OTR/L
• Cornerstone Counseling and Wellness Center, LLC
• Shelby Lynn Groner Cotner, M.S. SLP
• Tiffany Michelle Cottrell
• Amy Cox, ARNP
• CRC Health Treatment Clinics, LLC
• CRC Health Treatment Clinics, LLC
• CRC Health Treatment Clinics, LLC
• Kimberly Walker Crow, MSW, MS, CMHP

• Nurse Practitioner in Pace, FL
• Providers in Pace, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.