MRS. HANEEFAH OMEGA HENRY RHODES (NPI# 1902390982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902390982 |
| Entity Type | Individual |
| Full Name | MRS. HANEEFAH OMEGA HENRY RHODES |
| Credential | MSN, AAS, FNP-BC |
| Practice Address |
Vsu Health Center 1 Hayden Dr Petersburg VA 23806-0001 |
| Mailing Address |
Vsu Health Center 1 Hayden Dr Petersburg VA 23803-2520 |
| Practice Telephone | 8045243664 |
| Mailing Telephone | 8045243664 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024176093 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0024176093 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5700 Williamsburg Landing Dr, Williamsburg, VA 231853779 | 7575656505 |
| Street Address |
VSU HEALTH CENTER 1 HAYDEN DR |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23806-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548411879 | Lynette Galloway Branch | Nurse Practitioner | Virginia State University Student Health, 1 Hayden Drive, Petersburg, VA 23806-0001 | 2008-10-06 |
| 1013254960 | Matthew S Williams | Specialist/Technologist | 1 Hayden Dr, Athletic Department, Petersburg, VA 23806-1000 | 2013-01-12 |
| 1881118933 | Steven White | Nurse Practitioner | 1 Hayden Dr, Petersburg, VA 23806-4245 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124663 | Vets Aide | Home Health Aide | 49 Walnut Blvd, Petersburg, VA 23805-2109 | 2020-11-03 |
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1740889872 | Tandrea Graham | Community Health Worker | 628 Old Wagner Rd, Petersburg, VA 23805-9319 | 2020-10-20 |
| 1235738394 | Hl Transportation Services LLC | Non-emergency Medical Transport (VAN) | 210 Walnut Blvd Apt 19, Petersburg, VA 23805-2054 | 2020-10-20 |
| 1265030217 | Alisha Rose Powell | Technician | 216 Clifftop Dr Apt 84, Petersburg, WV 26847-8893 | 2020-10-13 |
| 1063010155 | Kourtney Hendricks | Home Health Aide | 1641 Darby Dr, Petersburg, VA 23803-5331 | 2020-10-12 |
| 1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
| 1174130397 | Upscale Home Care, LLC | Home Health | 325 Brown St Ste 131, Petersburg, VA 23803-4234 | 2020-09-30 |
| 1295341675 | Logan Mackenzie Willis | Technician | 216 Clifftop Dr Apt 86, Petersburg, WV 26847-8893 | 2020-09-21 |
| 1336755917 | Leap of Faith Adult Services LLC | Day Training, Developmentally Disabled Services | 528 Virginia Ave, Petersburg, VA 23803-5759 | 2020-09-19 |
| Find all providers in PETERSBURG | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
| 1992269286 | Angela Hooe | Nurse Practitioner | 601 Old Wagner Rd Ste 100, Petersburg, VA 23805-9313 | 2019-01-30 |
| 1265936454 | Angela Marie Jeter | Nurse Practitioner | 3471 Woolper Rd, Petersburg, KY 41080-9764 | 2018-03-21 |
| 1205347846 | Bethany Kinney | Nurse Practitioner | 4100 W Rauch Rd, Petersburg, MI 49270-9800 | 2017-10-23 |
| 1801244165 | Tonya Shah | Nurse Practitioner | 601 Old Wagner Rd Ste 101, Petersburg, VA 23805-9313 | 2016-05-27 |
| 1801146071 | Melissa Lee Mathias | Nurse Practitioner | 10 Mulligan Drive, Petersburg, WV 26847-1511 | 2012-09-14 |
| 1548411879 | Lynette Galloway Branch | Nurse Practitioner | Virginia State University Student Health, 1 Hayden Drive, Petersburg, VA 23806-0001 | 2008-10-06 |
| 1922215128 | Vicky Nell Groce | Nurse Practitioner | 212 South Public Square, Petersburg, TN 37144-0093 | 2007-05-17 |
| 1134298995 | Becky J Calhoun Harman | Nurse Practitioner | 100 Hospital Dr Ste 1, Petersburg, WV 26847 | 2006-11-07 |
| 1184605321 | Hannelore Barbara Mancil | Nurse Practitioner | 1730 Arch St, Petersburg, VA 23805-1620 | 2005-11-07 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23806 |
Please comment or provide details below to improve the information on MRS. HANEEFAH OMEGA HENRY RHODES.
| 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.