Individual provider Active NPI

David Jay Hodgins, R.N.

  • Gerontology Registered Nurse
  • Farmington, NM
National Provider Identifier
1316606601
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
R54298 Issued in NM
Practice address
1091 W Murray Dr
Farmington, NM 87401-3887
Phone
(505) 324-6200
NPI assigned
Dec 14, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X R54298 NM Primary

Addresses

Primary practice location

1091 W Murray Dr
Farmington, NM 87401-3887

Mailing address

816 Shady LN
Farmington, NM 87401-5456
Phone (505) 326-1972

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djhodgins@centurypa.com Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R54298NMMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1316606601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 SHADY LN",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015456",
            "telephone_number": "505-326-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 W MURRAY DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874013887",
            "telephone_number": "505-324-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGINS",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NM",
            "license": "R54298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djhodgins@centurypa.com",
            "affiliation": "N",
            "endpointDescription": "Organizational e-mail site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Place of Work",
            "address_1": "1091 W Murray Dr",
            "city": "Farmington",
            "state": "NM",
            "country_code": "US",
            "postal_code": "874013887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.