Individual provider Active NPI

Rhonda McClinton Graves

  • Registered Nurse
  • Langley Afb, VA
National Provider Identifier
1912712340
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001068594 Issued in VA
Practice address
633 Medical Group SGHM
77 Nealy Avenue
Langley Afb, VA 23665
Phone
(757) 225-2190
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001068594 VA Primary

Addresses

Primary practice location

633 Medical Group SGHM
77 Nealy Avenue
Langley Afb, VA 23665

Mailing address

633 Medical Group SGHM
77 Nealy Avenue
Langley Afb, VA 23665
Phone (757) 225-2190

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

State licenses

LicenseStateTypeSpecialty
0001068594VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1912712340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MEDICAL GROUP SGHM",
            "address_2": "77 NEALY AVENUE",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "23665",
            "telephone_number": "757-225-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MEDICAL GROUP SGHM",
            "address_2": "77 NEALY AVENUE",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "23665",
            "telephone_number": "757-225-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "RHONDA",
        "middle_name": "MCCLINTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001068594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley Afb, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.