Elizabeth Mary Hodgdon, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2594 Issued in NV

Practice address

255 N Sierra St Unit 2116
Reno, NV 89501-1354

Phone

(775) 830-8552

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1003401241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N SIERRA ST UNIT 2116",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011354",
            "telephone_number": "775-830-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N SIERRA ST UNIT 2116",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011354",
            "telephone_number": "775-830-8552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Court St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895011708",
            "country_code": "US",
            "telephone_number": "775-525-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGDON",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon J Hockenberry, M.D.
• Heather M. Hockenberry, MD
• Steven John Hockenberry, MFT-I
• Timothy Wayne Hockenberry, M.D.
• Michael Anthony Hodes, AU.D.
• Kathy Hodge
• Keith Hodge
• Richard Gordon Hodge, M.D.
• David Wayne Hodges, DDS
• Kimberly Hodges

• Speech-Language Pathologist in Reno, NV
• Providers in Reno, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.