Individual provider Active NPI

Rhonda Coleman, DNP, APRN

  • Adult Health Nurse Practitioner
  • White Hall, AR
National Provider Identifier
1952052375
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
215795 Issued in AR
Practice address
207 Frankie LN
White Hall, AR 71602-2683
Phone
(870) 209-2676
Fax
(870) 341-6217
NPI assigned
Jan 18, 2022
Last updated
Dec 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 215795 AR
Adult Health Nurse Practitioner 363LA2200X 215795 AR Primary
Gerontology Nurse Practitioner 363LG0600X 215795 AR
Primary Care Nurse Practitioner 363LP2300X 215795 AR

Addresses

Primary practice location

207 Frankie LN
White Hall, AR 71602-2683

Mailing address

PO Box 21194
White Hall, AR 71612-1194
Phone (870) 395-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20240227000391 AR Practitioner - Nurse Practitioner 5597100891 Reassigns benefits to 1 organization
Practice locations: White Hall, AR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
215795ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trifecta Care Adult Health CurrentSince Sep 24, 2024 Accepting new patients
Trifecta Care Adult Health CurrentSince Jun 20, 2019 Accepting new patients

Locations

1210 S Cherry St
Ste 1
Pine Bluff, AR 71601
Phone (870) 209-2676

207 Frankie Ln
White Hall, AR 71602
Phone (870) 209-2676

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1952052375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21194",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716121194",
            "telephone_number": "870-395-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FRANKIE LN",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022683",
            "telephone_number": "870-209-2676",
            "fax_number": "870-341-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "RHONDA",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "215795",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "215795",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "215795",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "215795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

Verify at the official NPI Registry.