Individual provider Active NPI

Emma Anne Hodges

  • Pediatric Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1366095689
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383518 Issued in NY
Practice address
2550 Delaware Ave
Buffalo, NY 14216-1721
Phone
(716) 884-0230
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 866303 NY
Pediatric Nurse Practitioner 363LP0200X 383518 NY Primary

Addresses

Primary practice location

2550 Delaware Ave
Buffalo, NY 14216-1721

Mailing address

2550 Delaware Ave
Buffalo, NY 14216-1721
Phone (716) 884-0230

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
866303NYMDRegistered Nurse
383518NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Adolescent Urgent Care of Western New York Past Accepting new patients
General Physician, PC PastSince Jun 25, 2023 Accepting new patients
Delaware Pediatric Associates PastSince Jun 25, 2023 Accepting new patients
Pediatric & Adolescent Healthcare, PC PastSince Feb 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ehodges@delawarepeds.medentdirect.com
  • Direct secure messaging: ehodges@pedsurgentcare.medentdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1366095689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161721",
            "telephone_number": "716-884-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161721",
            "telephone_number": "716-884-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "EMMA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "866303",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.