Individual provider Active NPI

Simone Simore Hodges, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1073932455
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
97028-7595 Issued in LA
Practice address
2111 71St Ave
Baton Rouge, LA 70807-5910
Phone
(225) 939-8543
NPI assigned
Apr 14, 2014
Last updated
Nov 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 97028-7595 LA Primary

Addresses

Primary practice location

2111 71St Ave
Baton Rouge, LA 70807-5910

Mailing address

2111 71St Ave
Baton Rouge, LA 70807-5910
Phone (225) 939-8543

Other identifiers 1

IdentifierTypeStateIssuer
2397940MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141124001521 LA Practitioner - Nurse Practitioner 5395067664 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
97028-7595LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Health Care Family Practice Family Current Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Apr 8, 2020 Accepting new patients
Anointed Family Medicine, LLC CurrentSince Apr 1, 2025 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Apr 8, 2020 Accepting new patients

Locations

3401 North Blvd
Ste 400
Baton Rouge, LA 70806
Phone (225) 381-2755

9001 Summa Ave
Ste 448
Baton Rouge, LA 70809

23845 Church St
Plaquemine, LA 70764
Phone (225) 687-2828

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1073932455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 71ST AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075910",
            "telephone_number": "225-939-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 71ST AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075910",
            "telephone_number": "225-939-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "SIMONE",
        "middle_name": "SIMORE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "97028-7595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2397940",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.