Kelsey Bailey Hodges

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

415 Broad St
Kingsport, TN 37660-4263

Phone

(423) 239-9737

NPI assigned

Sep 5, 2016

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1356898639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BROAD ST",
            "address_2": "SUITE 410",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604263",
            "telephone_number": "423-239-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BROAD ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604263",
            "telephone_number": "423-239-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "KELSEY",
        "middle_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-05",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Ruth Hite
• Clair S. Hixson, MD
• Constance Thetford Hixson, MD
• Kimberly Lynn Hixson, C.R.N.A.
• Benjamin Hodges, NP
• Nikki Lynn Hodges, BSW
• Zane Emory Lynne Holden, R.N.
• Margaret Schnell Holifield, FNP
• Emily Lauren Holley, PHARMD
• Katie Ward Holley, DO

• Medical Physician Assistant in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.