Individual provider Active NPI

Sharon Hodges, APRN

  • Family Nurse Practitioner
  • Providence, KY
National Provider Identifier
1366811796
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009829 Issued in KY
Practice address
215 E Main St
Providence, KY 42450-1261
Phone
(270) 667-7017
Fax
(270) 667-5956
NPI assigned
Sep 16, 2015
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3009829 KY
Family Nurse Practitioner 363LF0000X 3009829 KY Primary

Addresses

Primary practice location

215 E Main St
Providence, KY 42450-1261

Mailing address

215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017

Other identifiers 1

IdentifierTypeStateIssuer
7100384000MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151028002415 KY Practitioner - Nurse Practitioner 3971812199 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Care Affiliates, IncGroup PAC ID 3173668274, shared by 8 NPIs, 28 clinicians

Practice addresses (Care Compare)

1100 S Jefferson St
Princeton, KY 42445-2379
Phone (270) 365-9455

215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017

295 Main St
Calhoun, KY 42327-2104
Phone (270) 273-9310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3009829KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crittenden Community Hospital LLC Nurse Practitioner CurrentSince Apr 29, 2019 Accepting new patients
Crittenden Community Hospital LLC Nurse Practitioner CurrentSince Apr 29, 2019 Accepting new patients
Family Practice Clinic PSC Family Current Accepting new patients
Deaconess Clinic, Inc. Nurse Practitioner CurrentSince Jan 25, 2018 Accepting new patients
Regional Health Care Affiliates, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Jun 1, 2024 Accepting new patients
Marshall County Hospital District Family CurrentSince Mar 28, 2016 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Current Accepting new patients
Marshall County Hospital District CurrentSince Mar 28, 2016 Accepting new patients

Locations

617 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-2411

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

215 E Main St
#215
Providence, KY 42450

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1366811796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501261",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501261",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "SHARON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3009829",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100384000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, KY

Sources for this page

Verify at the official NPI Registry.