Active NPI
Rhonda Jane Conley, C.N.M.
- Advanced Practice Midwife
- Beavercreek, OH
National Provider Identifier
1942469424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN.CNM.09892
- Practice address
- 3535 Pentagon Blvd Ste 220
Beavercreek, OH 45431-1705 - Phone
- (937) 429-7350
- Fax
- (937) 431-2623
- NPI assigned
- Jun 9, 2008
- 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 | RN177037 | OH | |
| Advanced Practice Midwife | 367A00000X | APRN.CNM.09892 | OH | Primary |
Addresses
Primary practice location
3535 Pentagon Blvd Ste 220
Beavercreek, OH 45431-1705
Mailing address
3535 Pentagon Blvd Ste 220
Beavercreek, OH 45431-1705
Phone (937) 429-7350
Other practice location 1
1249 Suncrest Town Centre Dr
Morgantown, WV 26505-1876
Phone (304) 599-6353
Other practice location 2
50 N Progress Dr
Xenia, OH 45385-2666
Phone (937) 429-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2851392 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rconley330282@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN177037 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1942469424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 PENTAGON BLVD STE 220",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454311705",
"telephone_number": "937-429-7350",
"fax_number": "937-431-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 PENTAGON BLVD STE 220",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454311705",
"telephone_number": "937-429-7350",
"fax_number": "937-431-2623"
}
],
"practiceLocations": [
{
"address_1": "1249 Suncrest Town Centre Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265051876",
"country_code": "US",
"telephone_number": "304-599-6353",
"fax_number": "304-598-3608",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 N Progress Dr",
"address_purpose": "LOCATION",
"city": "Xenia",
"state": "OH",
"postal_code": "453852666",
"country_code": "US",
"telephone_number": "937-429-7350",
"fax_number": "937-431-2623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONLEY",
"first_name": "RHONDA",
"middle_name": "JANE",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN177037",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "APRN.CNM.09892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2851392",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rconley330282@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3535 Pentagon Blvd Ste 220",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454311705",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3535 Pentagon Blvd Ste 220",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454311705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.