Individual provider Active NPI

Walter Curtis Hodges Jr., DNP, FNP-C,

  • Family Nurse Practitioner
  • Laurel Fork, VA
National Provider Identifier
1083237432
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179052 Issued in VA
Practice address
14558 Danville Pike
Laurel Fork, VA 24352-3982
Phone
(276) 398-2292
Fax
(276) 398-3331
NPI assigned
May 20, 2020
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179052 VA Primary
Registered Nurse 163W00000X 0001217604 VA

Addresses

Primary practice location

14558 Danville Pike
Laurel Fork, VA 24352-3982

Mailing address

PO Box 9
Laurel Fork, VA 24352-0009
Phone (276) 398-2292

Other practice location 1

140 Christiansburg Pike NE
Floyd, VA 24091-3742
Phone (540) 745-9290

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wedonotusethis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200629003267 VA Practitioner - Nurse Practitioner 9133541659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3716 Melrose Ave NW
Roanoke, VA 24017-2716
Phone (540) 362-0360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001217604VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kuumba Community Health & Wellness Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Physicians Care of Virginia PC CurrentSince Jul 1, 2020 Accepting new patients
Kuumba Community Health & Wellness Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2602 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 343-5968

3716 Melrose Ave NW
Roanoke, VA 24017
Phone (540) 362-0360

5060 Valley View Blvd NW
Roanoke, VA 24012
Phone (540) 278-1051

Interoperability endpoints

  • Direct secure messaging: curtis.hodges.1@16596.direct.athenahealth.com

Organizations & group practices 3

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1083237432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243520009",
            "telephone_number": "276-398-2292",
            "fax_number": "276-398-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14558 DANVILLE PIKE",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243523982",
            "telephone_number": "276-398-2292",
            "fax_number": "276-398-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Christiansburg Pike NE",
            "address_purpose": "LOCATION",
            "city": "Floyd",
            "state": "VA",
            "postal_code": "240913742",
            "country_code": "US",
            "telephone_number": "540-745-9290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGES",
        "first_name": "WALTER",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DNP, FNP-C,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179052",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001217604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wedonotusethis",
            "affiliation": "N",
            "address_1": "14558 Danville Pike",
            "city": "Laurel Fork",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243523982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel Fork, VA

Sources for this page

Verify at the official NPI Registry.