MRS. PHYLLIS WANDA RHYMES-JOHNSON


Address: Jackson Health System - 1611 N.w. 12th Avenue, Device Center - Ww 407, Miami, FL 33169
Phone: 3055857443

MRS. PHYLLIS WANDA RHYMES-JOHNSON (NPI# 1437201605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437201605
Entity Type Individual
Full Name MRS. PHYLLIS WANDA RHYMES-JOHNSON
Other Name MS. PHYLLIS WANDA RHYMES
Credential ARNP,MSN,DHS-STUDENT
Practice Address Jackson Health System - 1611 N.w. 12th Avenue
Device Center - Ww 407
Miami
FL 33169
Mailing Address 870 N.w. 177th Terrace
Miami
FL 33169
Practice Telephone 3055857443
Practice Fax Number 3055856872
Mailing Telephone 3057939612
Mailing Fax Number 3056539882
Enumeration Date 2007-01-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
1060592 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL JACKSON HEALTH SYSTEM ID 20006 01

Office Location

Street Address JACKSON HEALTH SYSTEM - 1611 N.W. 12TH AVENUE
DEVICE CENTER - WW 407
City MIAMI
State FL
Zip Code 33169

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NPI Name Taxonomy Address Enumeration
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1871158873 Positive Point Inc Substance Abuse Rehabilitation Facility 111 Nw 183rd Street Suite 423, Miami, FL 33169 2019-05-06
1447736251 Anoshah Justine Pierre Nurse Practitioner 580 Nw 189th Street, Miami, FL 33169 2018-07-15
1770074627 Jorge E Quinzada Occupational Therapist 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 2018-05-27
1043700578 South Beach Detox LLC Substance Abuse Rehabilitation Facility 85 Nw 168th St, North Miami Beach, FL 33169 2018-05-10
1689197972 Misurez Medical Center Corp General Practice 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 2017-07-19
1831619733 Barbara C Chacon Behavior Technician 130 Nw 191 St, Miami, FL 33169 2017-06-21
1780041665 Elizabeth Lovette Ugokwe Registered Nurse 330 North Biscayne River Drive, Miami, FL 33169 2016-01-22
1205221207 Cristina Dou Family Medicine Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 2015-04-06
1457757635 Anthony Richard Denbow Assisted Living Facility 1074 Nw 153 Street, Miami, FL 33169 2014-11-14
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1386285732 Addys Lisette Santos Hernandez Nurse Practitioner 11031 Sw 51st Ter, Miami, FL 33165-6902 2019-10-07
1649736745 Marie Aliene Jusma Nurse Practitioner 1095 Nw 110th Street, House, Miami, FL 33168 2019-02-13
1306301635 Wellspring Preservation Medical Vacation Boutique & Spa, LLC Nurse Practitioner 14051 Sw 152nd Ter, Miami, FL 33177-0910 2019-01-31
1174005250 Julieth Andrea Rave Nurse Practitioner 3663 S Miami Ave Ste 209, Miami, FL 33133-4253 2018-09-05
1245712686 Donna O Martinez Nurse Practitioner 16543 Sw 59th Ter, Miami, FL 33193-5686 2018-09-01
1033695465 Carolina Elena Navarro Nurse Practitioner 353 Sw 23rd Rd, Miami, FL 33129-1923 2018-07-18
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Competitor

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City MIAMI
Zip Code 33169

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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