Individual provider Active NPI

Johnny D Rhoden, RN

  • Registered Nurse
  • Ft Lauderdale, FL
National Provider Identifier
1952904997
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9544250 Issued in FL
Practice address
3042 N Federal Hwy Ste 305
Ft Lauderdale, FL 33306-1400
Phone
(954) 417-5222
Fax
(866) 479-4761
NPI assigned
Nov 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 RN9544250 FL Primary

Addresses

Primary practice location

3042 N Federal Hwy Ste 305
Ft Lauderdale, FL 33306-1400

Mailing address

3042 N Federal Hwy Ste 305
Ft Lauderdale, FL 33306-1400
Phone (954) 417-5222

Other identifiers 2

IdentifierTypeStateIssuer
RN480958OtherOHOHIO BOARD OF NURSING
RN9544250OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9544250FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Medical Centers LLC Current Accepting new patients

Locations

3042 N Federal Hwy
Ste 305
Ft Lauderdale, FL 33306
Phone (954) 417-5220

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1952904997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 N FEDERAL HWY STE 305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061400",
            "telephone_number": "954-417-5222",
            "fax_number": "866-479-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 N FEDERAL HWY STE 305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061400",
            "telephone_number": "954-417-5222",
            "fax_number": "866-479-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODEN",
        "first_name": "JOHNNY",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9544250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "RN480958",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "RN9544250",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.