Individual provider Active NPI

Rhonda Brooks Quenzer, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1720232135
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3010889 Issued in KY
Practice address
1411 N Race St
Glasgow, KY 42141-3474
Phone
(270) 479-8900
Fax
(866) 450-1078
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1076446 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3010889 KY Primary

Addresses

Primary practice location

1411 N Race St
Glasgow, KY 42141-3474

Mailing address

1411 N Race St
Glasgow, KY 42141-3474
Phone (270) 479-8900

Other practice location 1

321 Augusta Cir
Glasgow, KY 42141-8281
Phone (270) 670-9916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190528000842 KY Practitioner - Nurse Practitioner 7810230240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1076446KYMDRegistered Nurse
3010889KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Professional Counseling, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1720232135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413474",
            "telephone_number": "270-479-8900",
            "fax_number": "866-450-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413474",
            "telephone_number": "270-479-8900",
            "fax_number": "866-450-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Augusta Cir",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421418281",
            "country_code": "US",
            "telephone_number": "270-670-9916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUENZER",
        "first_name": "RHONDA",
        "middle_name": "BROOKS",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1076446",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3010889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.