KRISTOPHER RHODES NPI 1174177562

NPI Information

  • NPI: 1174177562
  • Provider Name: KRISTOPHER RHODES
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3220 ATLANTA ST
    SPRINGFIELD, IL
    ZIP 62707
  • Phone: (217) 545-8000

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NPI Details

Kristopher Rhodes is a primary care nurse practitioner in Springfield, IL with 7 years of experience. Kristopher Rhodes NPI is 1174177562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3220 ATLANTA ST
SPRINGFIELD, IL
ZIP 62707-801
Phone: (217) 545-8000

The NPI 1174177562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2019 and was last updated on 5/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care209019639ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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