Christina Hodges, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

2010021891 Issued in MO

Practice address

104 W Lafayette St
Versailles, MO 65084-1346

Phone

(573) 378-5438

Fax

(573) 378-7375

NPI assigned

May 31, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Curators of the University of Missouri

  • Community/Retail Pharmacy
  • Jefferson City, MO
  • NPI 1740083641
  NPD (past)
• Morgan County Health Center

  • Public Health or Welfare Agency
  • Versailles, MO
  • NPI 1447456330
  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1235797622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W LAFAYETTE ST",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841346",
            "telephone_number": "573-378-5438",
            "fax_number": "573-378-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W LAFAYETTE ST",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841346",
            "telephone_number": "573-378-5438",
            "fax_number": "573-378-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "CHRISTINA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MO",
            "license": "2010021891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Care Center
• Angelica Araceli Goodrich, OTR/L
• Sarah L. Gordon, M.D.
• Harmony Central, LLC
• Susan Elizabeth Hill, RPH
• Integrity Lifeskills LLC
• JRS Enterprises II Missouri LLC
• JRS Enterprises II Missouri LLC
• Ashley Joann Judd, LPN
• Kevin K.E. Carl, O.D. Dba Eye Clinic

• Lactation Consultant (Registered Nurse) in Versailles, MO
• Providers in Versailles, MO by specialty
• Lactation Consultant (Registered Nurse) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.