Active NPI
Rhonda Felecia Smith Bass, CERTIFIED NURSE PRAC
- Community Health Nurse Practitioner
- Dayton, OH
National Provider Identifier
1700907565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- RN.210745
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328140 | Other | OH | ANTHEM BC |
| 2401047 | Medicaid | OH | |
| 492320001 | Other | OH | CARE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210745 | OH | MD | Nurse Practitioner |
| RN.210745 | OH | MD | Community Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahajan Therapeutics, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Dayton, OH
- NPI 1669531810
-
- Student Health Clinic/Center
- Wilberforce, OH
- NPI 1659625341
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.