Amy Hodges, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

A004837 Issued in AR

Practice address

172 Highway 62 W
Salem, AR 72576-8059

Phone

(870) 895-2735

Fax

(870) 895-2709

NPI assigned

Jul 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.hodges@1st.eclinicaldirectplus.com

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

• 1St Choice Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Corning, AR
  • NPI 1942256508

  AR

  Medicare reassignment NPD
• 1St Choice Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, AR
  • NPI 1912431818
  NPD
• 1St Choice Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Highland, AR
  • NPI 1962824672
  NPD
• 1St Choice Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Walnut Ridge, AR
  • NPI 1598711152
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1194178376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "870-857-3334",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 HIGHWAY 62 W",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725768059",
            "telephone_number": "870-895-2735",
            "fax_number": "870-895-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "AMY",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A004837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215618758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fulton County Internal Medicine
• Guffeys Pharmacy Inc
• Michael Lynn Harber, PTA
• Chelsea Lauren Havelka, APRN
• Health Resources of Arkansas, Inc.
• Kallie Alyce Hoover, PA-C
• Jennifer Renee Innis, PTA
• Izard Regional Hospital, LLC
• Brandi Lee Jones, APRN
• Jamye Nichole Jones, APRN

• All providers in Salem, AR
• Pediatric Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.

Verify at the official NPI Registry.