Provider Demographics
NPI:1154665883
Name:RHOADES, ASHLEY HOOVER (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:HOOVER
Last Name:RHOADES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:CARISA
Other - Last Name:HOOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 BELLONA ARSENAL RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2038
Mailing Address - Country:US
Mailing Address - Phone:804-658-8026
Mailing Address - Fax:
Practice Address - Street 1:5706 GROVE AVE STE 200
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2343
Practice Address - Country:US
Practice Address - Phone:804-223-3165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2023-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170538363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30016091340008Medicaid