Individual provider Active NPI

Renata L Rhodes, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1982574919
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1216925 Issued in TX
Practice address
5700 Tennyson Pkwy Ste 300
Plano, TX 75024-3595
Phone
(214) 470-8062
NPI assigned
Nov 5, 2025
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 330641 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 86343 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1216925 TX Primary

Addresses

Primary practice location

5700 Tennyson Pkwy Ste 300
Plano, TX 75024-3595

Mailing address

PO Box 118741
Carrollton, TX 75011-8741
Phone (214) 470-8062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260423000578 TX Practitioner - Nurse Practitioner 3476029836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18001 N 79TH Ave
Suite A10
Glendale, AZ 85308-8389
Phone (214) 884-4625

2200 E State Hwy 121
Apt 3008
Lewisville, TX 75056-7237

PO Box
Carrollton, TX 75011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
330641AZMDPsychiatric/Mental Health Nurse Practitioner
86343NMMDPsychiatric/Mental Health Nurse Practitioner
1216925TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifted Minds Psychiatry & Wellness PLLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

5700 Tennyson Pkwy
Ste 300
Plano, TX 75024
Phone (214) 535-7586

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, 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": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1982574919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118741",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750118741",
            "telephone_number": "214-470-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 TENNYSON PKWY STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243595",
            "telephone_number": "214-470-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "RENATA",
        "middle_name": "L",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "330641",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "86343",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1216925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.