Kenneth Hodges, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

161047 Issued in NC

Practice address

1700 E Ash St Ste 301
Goldsboro, NC 27530-4097

Phone

(877) 213-3533

NPI assigned

May 27, 2011

Last updated

Apr 23, 2014By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Krystal's House, Inc

  • Adult Mental Health Clinic/Center
  • Pikeville, NC
  • NPI 1497640007
  NPD Authorized official
• CPS Home Care, Inc

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1457771990
  NPD (past) Authorized official

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1578856266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 301",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "877-213-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 301",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "877-213-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "161047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602249",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578856266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amity Storm Hines
• Anaise Hope Hines, NP-C
• Hinnant Family Dentistry
• Keith F Hinnant
• Sharon Hinson, LCAS
• Edwin William Hoeper, MD
• Suneya G Hogarty, M.D.
• Meagan Anne McJilton Holcomb, FNP-BC
• Mark S Holden
• Katina Ann Holland-Rhudy, OTR/L,CHT

• Home Health Registered Nurse in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Home Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.