Organization Active NPI

Stephanie Linville Hodges PLLC

  • Urgent Care Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1306204185
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
5006610 Issued in NC
Legal business name
STEPHANIE LINVILLE HODGES PLLC
Practice address
204 Westwood Shopping Ctr
Fayetteville, NC 28314-1528
Phone
(910) 676-7570
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Dr. Stephanie Hodges, DNP, FNP-C
Title
Owner
Phone
(910) 584-0358

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5006610 NC
Urgent Care Clinic/Center 261QU0200X 5006610 NC Primary

Addresses

Primary practice location

204 Westwood Shopping Ctr
Fayetteville, NC 28314-1528

Mailing address

2536 Thorngrove CT
Fayetteville, NC 28303-0259

Other identifiers 1

IdentifierTypeStateIssuer
1306204185MedicaidNC

Other names 1

  • QwikMed Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

204 Westwood Shopping Ctr
Fayetteville, NC 28314
Phone (910) 676-7570

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1306204185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 THORNGROVE CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283030259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WESTWOOD SHOPPING CTR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141528",
            "telephone_number": "910-676-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE LINVILLE HODGES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-584-0358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "5006610",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "5006610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306204185",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QwikMed Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.