Active NPI
Jodie-Ann Shaw Hodge, MS, CCC-SLP
- Speech-Language Pathologist
- Bowie, MD
National Provider Identifier
1619440815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06201
- Practice address
- 12711 Milan Way
Bowie, MD 20715-1611 - Phone
- (301) 805-2740
- NPI assigned
- Jan 10, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 06201 | MD | Primary |
Addresses
Primary practice location
12711 Milan Way
Bowie, MD 20715-1611
Mailing address
8809 Sumner Grove Dr
Laurel, MD 20708-3533
Phone (301) 523-5684
Other practice location 1
8801 Ritchie Dr
Capitol Heights, MD 20743-4900
Phone (301) 808-8100
Other practice location 2
8809 Sumner Grove Dr
Laurel, MD 20708-3533
Phone (301) 523-5684
Other practice location 3
11011 Cherry Hill Rd
Beltsville, MD 20705-3801
Phone (301) 572-0600
Other names 1
- Ms. Jodie Hodge
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06201 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1619440815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8809 SUMNER GROVE DR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083533",
"telephone_number": "301-523-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12711 MILAN WAY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151611",
"telephone_number": "301-805-2740"
}
],
"practiceLocations": [
{
"address_1": "8801 Ritchie Dr",
"address_purpose": "LOCATION",
"city": "Capitol Heights",
"state": "MD",
"postal_code": "207434900",
"country_code": "US",
"telephone_number": "301-808-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8809 Sumner Grove Dr",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207083533",
"country_code": "US",
"telephone_number": "301-523-5684",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11011 Cherry Hill Rd",
"address_purpose": "LOCATION",
"city": "Beltsville",
"state": "MD",
"postal_code": "207053801",
"country_code": "US",
"telephone_number": "301-572-0600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAW HODGE",
"first_name": "JODIE-ANN",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-10",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JODIE",
"last_name": "HODGE",
"prefix": "MS.",
"credential": "MS, CCC-SLP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.