Individual provider Active NPI

Jill Campbell Hodge, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1558416669
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3747 Issued in NC
Practice address
1313 Carolina St Ste 100
Ling & Kerr Pediatric Therapy
Greensboro, NC 27401-6001
Phone
(336) 370-4070
Fax
(336) 370-9008
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3747 NC Primary

Addresses

Primary practice location

1313 Carolina St Ste 100
Ling & Kerr Pediatric Therapy
Greensboro, NC 27401-6001

Mailing address

1313 Carolina St Ste 100
Ling & Kerr Pediatric Therapy
Greensboro, NC 27401-6001
Phone (336) 370-4070

Other identifiers 3

IdentifierTypeStateIssuer
12124OtherNCBCBS
7411509MedicaidNC
A4947OtherNYMEDCOST

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3747NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558416669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 CAROLINA ST STE 100",
            "address_2": "LING & KERR PEDIATRIC THERAPY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016001",
            "telephone_number": "336-370-4070",
            "fax_number": "336-370-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 CAROLINA ST STE 100",
            "address_2": "LING & KERR PEDIATRIC THERAPY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016001",
            "telephone_number": "336-370-4070",
            "fax_number": "336-370-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "JILL",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12124",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411509",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A4947",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.