Healthcare Provider Details

I. General information

NPI: 1649896499
Provider Name (Legal Business Name): JAMIE LEEANN RHOADES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE HOWARD RN

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6940 VAN DORN ST STE 201
LINCOLN NE
68506-2858
US

IV. Provider business mailing address

8556 E ASH RD
FIRTH NE
68358-7587
US

V. Phone/Fax

Practice location:
  • Phone: 402-413-6363
  • Fax:
Mailing address:
  • Phone: 402-450-2464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number55421
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number55421
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number55421
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number55421
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number55421
License Number StateNE
# 6
Primary TaxonomyN
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License Number55421
License Number StateNE
# 7
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number55421
License Number StateNE
# 8
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number55421
License Number StateNE
# 9
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number115874
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: