Provider Demographics
NPI:1649896499
Name:RHOADES, JAMIE LEEANN (FNP)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LEEANN
Last Name:RHOADES
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8556 E ASH RD
Mailing Address - Street 2:
Mailing Address - City:FIRTH
Mailing Address - State:NE
Mailing Address - Zip Code:68358-7587
Mailing Address - Country:US
Mailing Address - Phone:402-450-2464
Mailing Address - Fax:
Practice Address - Street 1:6940 VAN DORN ST STE 201
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2858
Practice Address - Country:US
Practice Address - Phone:402-413-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE55421163W00000X, 163WA2000X, 163WC1600X, 163WH0200X, 163WI0500X, 163WI0600X, 163WN1003X, 171M00000X
NE115874363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No171M00000XOther Service ProvidersCase Manager/Care Coordinator