Individual provider Active NPI

Rhonda Felecia Smith Bass, CERTIFIED NURSE PRAC

  • Community Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1700907565
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
RN.210745 Issued in OH
Practice address
2720 E 3Rd St
Dayton, OH 45403-2102
Phone
(937) 520-7889
Fax
(376) 303-6039
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X RN.210745 OH Primary
Nurse Practitioner 363L00000X 210745 OH
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X RN.210745 OH
Registered Nurse 163W00000X 210745 OH
Addiction (Substance Use Disorder) Psychologist 103TA0400X APRN.06851 OH

Addresses

Primary practice location

2720 E 3Rd St
Dayton, OH 45403-2102

Mailing address

1101 Larona Rd
Trotwood, OH 45426
Phone (937) 854-6514

Other identifiers 3

IdentifierTypeStateIssuer
328140OtherOHANTHEM BC
2401047MedicaidOH
492320001OtherOHCARE SOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040422000010 OH Practitioner - Nurse Practitioner 5496740292 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210745OHMDNurse Practitioner
RN.210745OHMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mahajan Therapeutics, LLC CurrentSince Jul 13, 2019 Accepting new patients
Next Medical Staffing Past Accepting new patients

Locations

6300 N Main St
Dayton, OH 45415
Phone (937) 275-1500

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1700907565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LARONA RD",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "45426",
            "telephone_number": "937-854-6514",
            "fax_number": "937-708-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454032102",
            "telephone_number": "937-520-7889",
            "fax_number": "376-303-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH BASS",
        "first_name": "RHONDA",
        "middle_name": "FELECIA",
        "name_prefix": "Mrs.",
        "credential": "CERTIFIED NURSE PRAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "OH",
            "license": "RN.210745",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "210745",
            "primary": false
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "OH",
            "license": "RN.210745",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "210745",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "APRN.06851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "328140",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2401047",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "492320001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.