Individual provider Active NPI

Kelley Rhoades, NP

  • Family Health Clinical Nurse Specialist
  • Zanesville, OH
National Provider Identifier
1871997312
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
COA.16629-NP Issued in OH
Practice address
945 Bethesda Dr
Suite 200
Zanesville, OH 43701-0801
Phone
(740) 454-4788
Fax
(740) 450-6157
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X COA.16629-NP OH Primary

Addresses

Primary practice location

945 Bethesda Dr
Suite 200
Zanesville, OH 43701-0801

Mailing address

950 Bethesda Dr
Zanesville, OH 43701-7507
Phone (740) 450-1687

Other identifiers 1

IdentifierTypeStateIssuer
COA.16629-NPOtherOHOHIO LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210219000440 OH Practitioner - Nurse Practitioner 4880816123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

1246 Ashland Ave
Suite 101
Zanesville, OH 43701-2861
Phone (740) 454-4055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.16629-NPOHMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC CurrentSince Jul 31, 2022 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jul 31, 2022 Accepting new patients

Locations

950 Bethesda Dr
Zanesville, OH 43701
Phone (740) 450-3400

751 Forest Ave
Ste 202
Zanesville, OH 43701
Phone (740) 450-1687

950 Bethesda Dr
Ste 1
Zanesville, OH 43701
Phone (740) 586-6828

860 Bethesda Dr
Zanesville, OH 43701
Phone (740) 452-1905

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

751 Forest Ave
Ste 402
Zanesville, OH 43701
Phone (740) 452-1905

2945 Maple Ave
Zanesville, OH 43701
Phone (740) 454-0158

1246 Ashland Ave
Ste 101
Zanesville, OH 43701
Phone (740) 453-0730

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

860 Bethesda Dr
Ste 3
Zanesville, OH 43701
Phone (740) 454-4651

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1871997312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017507",
            "telephone_number": "740-450-1687",
            "fax_number": "740-450-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 BETHESDA DR",
            "address_2": "SUITE 200",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010801",
            "telephone_number": "740-454-4788",
            "fax_number": "740-450-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "KELLEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "OH",
            "license": "COA.16629-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSURE",
            "identifier": "COA.16629-NP",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.