Active NPI
Lucy B Hodges RN FPNP PLLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Greenwood, MS
National Provider Identifier
1023367455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- R537179
- Legal business name
- LUCY B HODGES RN FPNP PLLC
- Practice address
- 1303 River Rd
Greenwood, MS 38930-4029 - Phone
- (662) 299-2809
- Fax
- (662) 453-3581
- NPI assigned
- Aug 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucy B Hodges, FPNP
- Title
- Nurse Practitioner
- Phone
- (662) 299-2809
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | R537179 | MS | Primary |
Addresses
Primary practice location
1303 River Rd
Greenwood, MS 38930-4029
Mailing address
1303 River Rd
Greenwood, MS 38930-4029
Phone (662) 299-2809
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07831008 | Medicaid | MS | |
| 1639331994 | Other | MS | NPI |
| 1023367455 | Other | MS | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Greenwood, MS
- NPI 1639331994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364947200000",
"number": "1023367455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 RIVER RD",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304029",
"telephone_number": "662-299-2809",
"fax_number": "662-453-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 RIVER RD",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304029",
"telephone_number": "662-299-2809",
"fax_number": "662-453-3581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCY B HODGES RN FPNP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-30",
"last_updated": "2013-04-03",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "LUCY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "662-299-2809",
"authorized_official_credential": "FPNP"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MS",
"license": "R537179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07831008",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1639331994",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1023367455",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.