Active NPI
Susan Fay Hodge, R.N.
- Community Health Registered Nurse
- Rutledge, TN
National Provider Identifier
1609921865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 0000084284
- Practice address
- 185 Justice Center Dr.
Rutledge, TN 37861 - Phone
- (865) 828-5247
- Fax
- (865) 828-3594
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 0000084284 | TN | Primary |
Addresses
Primary practice location
185 Justice Center Dr.
Rutledge, TN 37861
Mailing address
637 Blackwell Branch Rd
Rutledge, TN 37861-5329
Phone (865) 228-3663
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000084284 | TN | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Past | Accepting new patients | |
| State of Tennessee | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Robertson County Health Department
- Public Health or Welfare Agency
- Springfield, TN
- NPI 1316090145
-
dba Grainger County Health Department
- Public Health or Welfare Agency
- Rutledge, TN
- NPI 1982742821
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": "1183852800000",
"number": "1609921865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 BLACKWELL BRANCH RD",
"city": "RUTLEDGE",
"state": "TN",
"postal_code": "378615329",
"telephone_number": "865-228-3663",
"fax_number": "865-828-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 JUSTICE CENTER DR.",
"city": "RUTLEDGE",
"state": "TN",
"postal_code": "37861",
"telephone_number": "865-828-5247",
"fax_number": "865-828-3594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "SUSAN",
"middle_name": "FAY",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "0000084284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutledge, TN
- Dennis H. Duck (Duck Family Medicine)
- Dennis Howard Duck, MD
- Woodard Duffey Foutch, D.D.S.
- Golden Care LLC
- Grainger County Board of Education
- Mark E. Holland, M.D.
- Horizon Healthcare Services PLLC (Rutledge Healthcare Services)
- Jeffco Rutledge Drugs (Smith Drug Store)
- Brenda Sue Jones, LPN
- Reagan Kitts, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.