Active NPI
Simone Simore Hodges, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 97028-7595
- Practice address
- 2111 71St Ave
Baton Rouge, LA 70807-5910 - Phone
- (225) 939-8543
- NPI assigned
- Apr 14, 2014
- Last updated
- Nov 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2397940 | Medicaid | LA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97028-7595 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Health Care Family Practice | Family | Current | Accepting new patients |
| Baton Rouge General Physicians, Inc. | Current | Accepting new patients | |
| Anointed Family Medicine, LLC | Current | Accepting new patients | |
| Baton Rouge General Physicians, Inc. | Current | 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.
-
- Family Medicine Physician
- Plaquemine, LA
- NPI 1629252069
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1992729560
-
dba Essential Health Care Family Practic
- Family Nurse Practitioner
- Zachary, LA
- NPI 1407430259
-
dba BRGP Louisiana Sleep Foundation
- Sleep Medicine (Internal Medicine) Physician
- Baton Rouge, LA
- NPI 1518688985
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.