Nolan Hodges

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A161455970 Issued in WA

Practice address

9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-9733

Phone

(425) 583-9495

NPI assigned

May 18, 2021

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691193600000",
    "number": "1508430257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 JACKSON LAKE RD NW",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984319733",
            "telephone_number": "425-583-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "NOLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-08-05",
        "certification_date": "2023-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A161455970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lucero Hernandez, MSW, LICSW, ASOTP
• Brianne Dare Hettema, PA-C
• Garey Alexander Hindman, LCSW
• Charles Scot Hitchcock, PA
• Linh Hoang, PHARMD
• Michael Kelly Hoger, DO
• Patrick Anthony Hogg, COTA
• Alex John Holt, DO
• Timothy Albert Hoover, PA-C
• Alexander Houle

• Athletic Trainer in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Athletic Trainer in Washington

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