Active NPI
Rhonissia Good
- Religious Nonmedical Practitioner
- Frederick, MD
National Provider Identifier
1699194878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Practitioner
- Practice address
- 615 Glen Echo Rd
Frederick, MD 21703-4540 - Phone
- (240) 578-4294
- Fax
- (469) 398-0478
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Religious Nonmedical Practitioner | 374K00000X | Primary |
Addresses
Primary practice location
615 Glen Echo Rd
Frederick, MD 21703-4540
Mailing address
615 Glen Echo Rd
Frederick, MD 21703-4540
Phone (240) 578-4294
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1699194878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 GLEN ECHO RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217034540",
"telephone_number": "240-578-4294",
"fax_number": "469-398-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 GLEN ECHO RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217034540",
"telephone_number": "240-578-4294",
"fax_number": "469-398-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "RHONISSIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.