Individual provider Active NPI

Rhonda Gail Johnson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rocky Mount, VA
National Provider Identifier
1831655703
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024177350 Issued in VA
Practice address
30 Technology Dr
Rocky Mount, VA 24151
Phone
(540) 483-0582
Fax
(276) 694-3445
NPI assigned
Feb 15, 2019
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024177350 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024177350 VA Primary

Addresses

Primary practice location

30 Technology Dr
Rocky Mount, VA 24151

Mailing address

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190430001255 VA Practitioner - Nurse Practitioner 2264774991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Regional Community Services BoardGroup PAC ID 0345215208, 35 clinicians

Practice addresses (Care Compare)

30 Technology Dr
Rocky Mount, VA 24151-3008
Phone 27663271281339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024177350VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopeful Minds With Rhonda PLLC Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Premier Geriatric Solutions PLLC CurrentSince Nov 1, 2021 Accepting new patients
Piedmont Regional Community Services Board CurrentSince May 2, 2022 Accepting new patients

Locations

24 Clay St
Martinsville, VA 24112
Phone (276) 632-7128

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

30 Technology Dr
Rocky Mount, VA 24151
Phone (540) 483-0582

22280 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 632-7128

Interoperability endpoints

  • Direct secure messaging: rjohnson18894@direct.carilionclinic.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1831655703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-731-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TECHNOLOGY DR",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "24151",
            "telephone_number": "540-483-0582",
            "fax_number": "276-694-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RHONDA",
        "middle_name": "GAIL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177350",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.