Individual provider Active NPI

Niki Hodges, DNP, APRN, FNP-BC

  • Family Medicine Physician
  • Santa Fe, TX
National Provider Identifier
1417201732
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP123231 Issued in TX
Practice address
14310 Highway 6
Santa Fe, TX 77517-3421
Phone
(409) 316-9085
Fax
(409) 316-9014
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AP123231 TX Primary

Addresses

Primary practice location

14310 Highway 6
Santa Fe, TX 77517-3421

Mailing address

13230 FM 1764 Rd Ste C
Santa Fe, TX 77510-9132
Phone (409) 316-9085

Other practice location 1

1395 Sattler Rd Ste 6
New Braunfels, TX 78132-2296
Phone (830) 964-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130507000617 TX Practitioner - Nurse Practitioner 0547407751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Family Healthcare, LLCGroup PAC ID 0941583207, 2 clinicians

Practice addresses (Care Compare)

13230 FM 1764 Rd
Suite C
Santa Fe, TX 77510-9673
Phone (409) 316-9085

Hospital & facility affiliations

  • CHI St Luke'S Health Brazosport Hospital, Lake Jackson, TX, CCN 450072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP123231TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services, PA Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nhodges468895@direct.stlukeshealth.org
  • Direct secure messaging: niki.cronk.1@15750.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15750/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1417201732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13230 FM 1764 RD STE C",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775109132",
            "telephone_number": "409-316-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 HIGHWAY 6",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775173421",
            "telephone_number": "409-316-9085",
            "fax_number": "409-316-9014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 Sattler Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781322296",
            "country_code": "US",
            "telephone_number": "830-964-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGES",
        "first_name": "NIKI",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP123231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, TX

Sources for this page

Verify at the official NPI Registry.