Individual provider Active NPI

Stephanie Hodges, DNP, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1467880799
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1013096 Issued in NC
Practice address
204 Westwood Shopping Ctr
Fayetteville, NC 28314-1528
Phone
(910) 676-7570
Fax
(910) 676-7572
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1013096 NC Primary

Addresses

Primary practice location

204 Westwood Shopping Ctr
Fayetteville, NC 28314-1528

Mailing address

204 Westwood Shopping Ctr
Fayetteville, NC 28314-1528
Phone (910) 676-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1013096NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hodges Family Pharmacy LLC PastSince Mar 1, 2016 Accepting new patients

Organizations & group practices 1

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1467880799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WESTWOOD SHOPPING CTR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141528",
            "telephone_number": "910-676-7570",
            "fax_number": "910-676-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WESTWOOD SHOPPING CTR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141528",
            "telephone_number": "910-676-7570",
            "fax_number": "910-676-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "STEPHANIE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F1013096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.