Active NPI
Kathryn Kaye Rhodes, PA-C
- Physician Assistant
- Del Rio, TX
National Provider Identifier
1790940211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TEMPORARY
- Practice address
- 801 N Bedell Ave
Del Rio, TX 78840-4112 - Phone
- (830) 703-1733
- Fax
- (830) 775-7230
- NPI assigned
- Jul 24, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TEMPORARY | TX | Primary |
| Medical Physician Assistant | 363AM0700X | TEMPORARY | TX | |
| Surgical Physician Assistant | 363AS0400X | TEMPORARY | TX |
Addresses
Primary practice location
801 N Bedell Ave
Del Rio, TX 78840-4112
Mailing address
801 N Bedell Ave
Del Rio, TX 78840-4112
Phone (830) 703-1733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790940211 | Medicaid | TX |
Other names 1
- Kathryn Kaye Burke
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMPORARY | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beauregard Physician Group, 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.
-
- Podiatric Clinic/Center
- Deridder, LA
- NPI 1780814756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1790940211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N BEDELL AVE",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788404112",
"telephone_number": "830-703-1733",
"fax_number": "830-775-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N BEDELL AVE",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788404112",
"telephone_number": "830-703-1733",
"fax_number": "830-775-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "KATHRYN",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "TEMPORARY",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "TEMPORARY",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "TEMPORARY",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790940211",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "BURKE",
"middle_name": "KAYE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Del Rio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.