Provider Demographics
NPI:1184871956
Name:RHODES, LOUVINIA JO (RN)
Entity type:Individual
Prefix:MRS
First Name:LOUVINIA
Middle Name:JO
Last Name:RHODES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 A VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-3669
Mailing Address - Country:US
Mailing Address - Phone:620-308-6196
Mailing Address - Fax:
Practice Address - Street 1:603 VILLAGE DR APT A
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-3669
Practice Address - Country:US
Practice Address - Phone:620-308-6196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008004046163W00000X
KS13-82918-091163W00000X, 163WH1000X
KS16-01517227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified