Active NPI
Jamie Hodge
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1184356834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11020542
- Practice address
- 800 W Platt St Ste 4
Tampa, FL 33606-4112 - Phone
- (813) 438-2240
- NPI assigned
- Jun 29, 2022
- Last updated
- Dec 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11020542 | FL | Primary |
Addresses
Primary practice location
800 W Platt St Ste 4
Tampa, FL 33606-4112
Mailing address
1413 S Howard Ave Ste 103a
Tampa, FL 33606-3176
Phone (813) 374-3872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11020542 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1184356834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 S HOWARD AVE STE 103A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063176",
"telephone_number": "813-374-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W PLATT ST STE 4",
"city": "TAMPA",
"state": "FL",
"postal_code": "336064112",
"telephone_number": "813-438-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11020542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.