Active NPI
Rhonda McClinton Graves
- Registered Nurse
- Langley Afb, VA
National Provider Identifier
1912712340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001068594
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001068594 | VA | MD | Registered 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.