Mary M Hodges, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024183058 Issued in VA

Practice address

1350 Woodside Mews
Henrico, VA 23231-5679

Phone

(804) 335-7690

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Single Specialty, VA

  Medicare reassignment NPD
• Midlothian Medi LLC

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1760051502
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1356085203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 PINELEAF DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232348221",
            "telephone_number": "804-335-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WOODSIDE MEWS",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232315679",
            "telephone_number": "804-335-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• His Path, LLC (Comfort Keepers)
• Shawn H Hobbs, OD
• Laila R Hobson
• Kelli Hodges, PA-C
• Lauren Iezzi Hodges, MS, RD
• Michelle Hoekstra, PT, DPT
• Henry Davis Holland Jr., CCC-SLP
• Erin Hollerbach, LCSW
• Luke Hollomon, DPT
• Holly Jones, LCSW, PLLC

• Family Nurse Practitioner in Henrico, VA
• Providers in Henrico, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.