Active NPI
Tricia Rhodes, HYGIENIST
- Dental Hygienist
- Greenville, SC
National Provider Identifier
1730327420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 3845
- Practice address
- 1 Memorial Medical Dr
Greenville, SC 29605-4407 - Phone
- (864) 351-2400
- NPI assigned
- Feb 3, 2009
- Last updated
- Feb 12, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3845 | SC | Primary |
Addresses
Primary practice location
1 Memorial Medical Dr
Greenville, SC 29605-4407
Mailing address
1 Memorial Medical Dr
Greenville, SC 29605-4407
Phone (864) 351-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3845 | Other | SC | SC LICENSE BOARD |
Other names 1
- Tricia Shaak
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3845 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1730327420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEMORIAL MEDICAL DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054407",
"telephone_number": "864-351-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL MEDICAL DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054407",
"telephone_number": "864-351-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "TRICIA",
"credential": "HYGIENIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "SC",
"license": "3845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LICENSE BOARD",
"identifier": "3845",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRICIA",
"last_name": "SHAAK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.