Active NPI
Rhonda J Konicki, MSN, C-NP
- Nurse Practitioner
- Centerville, OH
National Provider Identifier
1992005227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11986NP
- Practice address
- 1235 E Alex Bell Rd
Centerville, OH 45459 - Phone
- (937) 435-6400
- Fax
- (937) 435-4793
- NPI assigned
- Nov 3, 2010
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | RN 234035 | OH | |
| Nurse Practitioner | 363L00000X | 11986NP | OH | Primary |
Addresses
Primary practice location
1235 E Alex Bell Rd
Centerville, OH 45459
Mailing address
1235 E Alex Bell Rd
Centerville, OH 45459
Phone (937) 435-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11986NP | Other | OH | NP LICENSE |
| 3011761 | Medicaid | OH |
Other names 1
- Mrs. Rhonda Jane Salehi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180618000764 | OH | Order and Referring Only - Nurse Practitioner | 6305033549 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 234035 | OH | MD | Contractor |
| 11986NP | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1992005227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 E ALEX BELL RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-435-6400",
"fax_number": "937-435-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 E ALEX BELL RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-435-6400",
"fax_number": "937-435-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONICKI",
"first_name": "RHONDA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MSN, C-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "RN 234035",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "11986NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "11986NP",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3011761",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RHONDA",
"last_name": "SALEHI",
"middle_name": "JANE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.