Individual provider Active NPI

Tashlyn L Thomas-Rhodes, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1871960799
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5007918 Issued in NC
Practice address
5601 Executive Drive Suite 200
Charlotte, NC 28212
Phone
(704) 537-1022
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5007918 NC
Family Nurse Practitioner 363LF0000X 5007918 NC
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 5007918 NC Primary

Addresses

Primary practice location

5601 Executive Drive Suite 200
Charlotte, NC 28212

Mailing address

3010 Monroe Rd Ste 101
Charlotte, NC 28205-7533
Phone (704) 387-0182

Other practice location 1

3010 Monroe Rd Ste 101
Charlotte, NC 28205-7533
Phone (704) 387-0182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160107001554 NC Practitioner - Nurse Practitioner 2567764533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nu Visions Health & Wellness, PLLC Multi-Specialty CurrentSince Nov 12, 2024 Accepting new patients
Gaurang Palikh, MD, PC Multi-Specialty PastSince Jul 2, 2016 Accepting new patients

Locations

3010 Monroe Rd
Ste 101
Charlotte, NC 28205
Phone (704) 387-0182

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1871960799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 MONROE RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057533",
            "telephone_number": "704-387-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 EXECUTIVE DRIVE SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28212",
            "telephone_number": "704-537-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 Monroe Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282057533",
            "country_code": "US",
            "telephone_number": "704-387-0182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS-RHODES",
        "first_name": "TASHLYN",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007918",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007918",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5007918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.