MEDICARE: RHONDA HOOKER APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11001998	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2020004722	MO
3	163W00000X	Registered Nurse	041232362	IL
4	363LF0000X	Family Nurse Practitioner	201700006	MO
5	363LF0000X	Family Nurse Practitioner	209008693	IL
6	163W00000X	Registered Nurse	2007005809	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790084689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA HOOKER APRN

Provider Business Mailing Address
First Line	:	75 BRIARWOOD CT
Second Line	:
City	:	CAMDENTON
State	:	MO
Zip	:	65020-6600
Country	:	US
Telephone Number	:	573-410-9777
Fax Number	:	573-693-1003

Provider Business Practice Location Address
First Line	:	5780 OSAGE BEACH PKWY STE 205A
Second Line	:
City	:	OSAGE BEACH
State	:	MO
Zip	:	65065-3188
Country	:	US
Telephone Number	:	573-410-9777
Fax Number	:	573-693-1003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2011
Last Update Date	:	10/21/2025

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Directions to “ RHONDA HOOKER APRN” Practice Location

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