Individual provider Active NPI

Joan Rhea Hodge, REGISTER NURSE

  • Emergency Registered Nurse
  • Winston Salem, NC
National Provider Identifier
1326226523
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
207012 Issued in NC
Practice address
125 Heritage Acres LN
Winston Salem, NC 27107-9033
Phone
(423) 914-1377
NPI assigned
Feb 11, 2008
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 207012 NC Primary

Addresses

Primary practice location

125 Heritage Acres LN
Winston Salem, NC 27107-9033

Mailing address

125 Heritage Acres LN
Winston Salem, NC 27107-9033
Phone (423) 914-1377

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

LicenseStateTypeSpecialty
207012NCMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1326226523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HERITAGE ACRES LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271079033",
            "telephone_number": "423-914-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HERITAGE ACRES LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271079033",
            "telephone_number": "423-914-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "JOAN",
        "middle_name": "RHEA",
        "name_prefix": "Mrs.",
        "credential": "REGISTER NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NC",
            "license": "207012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.