Active NPI
Jennifer Jade Rhea, APRN
- Gerontology Nurse Practitioner
- Kyle, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1089294
- Practice address
- 1180 Seton Pkwy Ste 450
Kyle, TX 78640-6178 - Phone
- (512) 504-0860
- Fax
- (512) 504-0861
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 880802 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1089294 | TX | Primary |
Addresses
Primary practice location
1180 Seton Pkwy Ste 450
Kyle, TX 78640-6178
Mailing address
1004 W 32ND St Unit 300
Austin, TX 78705-1915
Phone (512) 324-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17707217 | Other | TX | TX DL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1180 Seton Pkwy
Kyle, TX 78640-6178
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 880802 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients |
Locations
1004 W 32nd St
Ste 300
Austin, TX 78705
Phone (512) 324-3440
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1180 Seton Pkwy
Ste 450
Kyle, TX 78640
Phone (512) 504-0860
Interoperability endpoints
- jennifer.rhea.1@8363.direct.athenahealth.com
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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1912634684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 W 32ND ST UNIT 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051915",
"telephone_number": "512-324-1000",
"fax_number": "512-351-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 SETON PKWY STE 450",
"city": "KYLE",
"state": "TX",
"postal_code": "786406178",
"telephone_number": "512-504-0860",
"fax_number": "512-504-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEA",
"first_name": "JENNIFER",
"middle_name": "JADE",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "880802",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1089294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX DL",
"identifier": "17707217",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.