Individual provider Active NPI

Rhonda L Bray, RN

  • Technician
  • Rockville, MD
National Provider Identifier
1861773525
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
RN1007225 Issued in DC
Practice address
6116 Executive Blvd # 670
Rockville, MD 20852-4920
Phone
(202) 505-1052
Fax
(202) 280-1457
NPI assigned
Sep 7, 2011
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X RN1007225 DC Primary
Cardiology Technician 246W00000X

Addresses

Primary practice location

6116 Executive Blvd # 670
Rockville, MD 20852-4920

Mailing address

6116 Executive Blvd # 670
Rockville, MD 20852-4920
Phone (202) 505-1052

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1007225DCMDTechnician

Practice roles

OrganizationSpecialtyStatusNew patients
Juve Botox and Beauty Lounge Current Accepting new patients
Rhythm Management Group, PLLC Technician, Cardiology Past Accepting new patients

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, 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": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1861773525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 EXECUTIVE BLVD # 670",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524920",
            "telephone_number": "202-505-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 EXECUTIVE BLVD # 670",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524920",
            "telephone_number": "202-505-1052",
            "fax_number": "202-280-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "RHONDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "DC",
            "license": "RN1007225",
            "primary": true
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.