Individual provider Active NPI

Rhonda Richardson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1801567540
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11015542 Issued in FL
Practice address
160 Cypress Point Pkwy Ste B303
Palm Coast, FL 32164-8443
Phone
(386) 230-4448
Fax
(386) 343-7206
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11015542 FL Primary

Addresses

Primary practice location

160 Cypress Point Pkwy Ste B303
Palm Coast, FL 32164-8443

Mailing address

9 Old Kings Road
Ste 123 #1012
Palm Coast, FL 32137-4706
Phone (386) 230-4448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250116000386 FL Practitioner - Nurse Practitioner 1254869449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunshine Psychiatric Care LLCGroup PAC ID 0345778536, 3 clinicians

Practice addresses (Care Compare)

9 Pine Cone Dr
Suite 109
Palm Coast, FL 32137-8683
Phone (386) 230-4448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11015542FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Psychiatric Care LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Integrated Neuropsych LLC PastSince Oct 8, 2023 Accepting new patients

Locations

160 Cypress Point Pkwy
Ste B302
Palm Coast, FL 32164
Phone (386) 230-4448

9 Pine Cone Dr
Ste 109
Palm Coast, FL 32137
Phone (386) 246-7898

9 Old Kings Rd N
Ste 123
Palm Coast, FL 32137
Phone (386) 680-0016

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1801567540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OLD KINGS ROAD",
            "address_2": "STE 123 #1012",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374706",
            "telephone_number": "386-230-4448",
            "fax_number": "386-343-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CYPRESS POINT PKWY STE B303",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648443",
            "telephone_number": "386-230-4448",
            "fax_number": "386-343-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RHONDA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11015542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.