Rebecca A Rhodes, APRN,BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN039317 Issued in LA

Practice address

212 N Main St
Fairfax, OK 74637-3023

Phone

(918) 642-3100

Fax

(918) 642-5415

NPI assigned

Oct 6, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGHIAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairfax Medical Facilities Inc

  dba Robert Clark Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Fairfax, OK
  • NPI 1538183173

  Multi-Specialty

  Medicare reassignment NPD
• Fairfax Medical Facilities, Inc.

  dba Ponca City Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ponca City, OK
  • NPI 1316747017
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• G.T. Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1063462299

  Multi-Specialty

  NPD (past)
• Radiology Associates of Southwest Louisiana

  • Diagnostic Radiology Physician
  • Alexandria, LA
  • NPI 1033215710

  Multi-Specialty

  NPD (past)
• Texas Emergency Room Services , PA

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1306894092

  Multi-Specialty

  NPD (past)
• Ubi Caritas

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1366413809

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932296209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "FAIRFAX",
            "state": "OK",
            "postal_code": "746373023",
            "telephone_number": "918-642-3100",
            "fax_number": "918-642-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "FAIRFAX",
            "state": "OK",
            "postal_code": "746373023",
            "telephone_number": "918-642-3100",
            "fax_number": "918-642-5415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Kinder",
            "state": "LA",
            "postal_code": "706483187",
            "country_code": "US",
            "telephone_number": "337-738-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Kinder",
            "state": "LA",
            "postal_code": "706483187",
            "country_code": "US",
            "telephone_number": "337-738-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "APRN,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "0127981",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN039317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124419",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Advantage Storehouse, LLC
• Oklahoma Home Health LLC
• Osage Skies Hospice Group Inc
• Elmer Gari Owens, P.A.
• Wanda W Priddy, LCSW
• Rural Wellness Fairfax Inc (Rural Wellness Fairfax Hospital)
• Rural Wellness Fairfax Inc (Rural Wellness Fairfax Clinic)
• Rural Wellness Fairfax Inc (Rural Wellness Fairfax Hospital)
• Shelley G Simon, LCSW
• Cassi Marie Smith, APRN

• Nurse Practitioner in Fairfax, OK
• Providers in Fairfax, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.