Java Hodges, RN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

215998 Issued in SC

Practice address

5124 Timicuan Way
Summerville, SC 29485-9068

Phone

(843) 478-3126

NPI assigned

Jan 6, 2023

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1619681418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 TIMICUAN WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859068",
            "telephone_number": "843-478-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 TIMICUAN WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859068",
            "telephone_number": "843-478-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "JAVA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "SC",
            "license": "215998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Ho, PHARMD
• Shirley L Ho, PA
• Zachary Ho, LPCA
• Kynleigh Hobbs, RBT
• James Hobson
• Kristi M Hodges
• Caisson Timber Hogue, M.D.
• Jeffrey Alan Holcombe, RPH
• Caroline D Holder
• Nicholas Holdgate, M.D.

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Summerville, SC
• Providers in Summerville, SC by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.