Individual provider Active NPI

Raven Parker Hodges, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1629718374
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-172760 Issued in AL
Practice address
1430 Gadsden Hwy Ste 116-917
Birmingham, AL 35235-3103
Phone
(208) 623-9050
NPI assigned
Mar 30, 2022
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 894600 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-172760 AL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1170153 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905241 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 36482 TN

Addresses

Primary practice location

1430 Gadsden Hwy Ste 116-917
Birmingham, AL 35235-3103

Mailing address

17640 Eastmoor St
Athens, AL 35611-2175
Phone (938) 256-5534

Other practice location 1

22099 US Highway 72 Ste C
Athens, AL 35613-2670
Phone (938) 256-5594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241126000203 TX Practitioner - Nurse Practitioner 4789119918 Reassigns benefits to 1 organization
I20241227000519 AL Practitioner - Nurse Practitioner 4789119918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

1430 Gadsden Hwy
Suite 116 917
Birmingham, AL 35235-3103
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
894600MSMDPsychiatric/Mental Health Nurse Practitioner
905241MSMDPsychiatric/Mental Health Nurse Practitioner
1170153TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Feathers of Hope, LLC Psychiatric/Mental Health CurrentSince Feb 17, 2025 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Apr 9, 2025 Accepting new patients
Brightside Medical, P.C. CurrentSince Nov 1, 2024 Accepting new patients
North Alabama Family Psychiatry & Counseling PastSince Apr 1, 2022 Accepting new patients
Robert L Geist, PHD, LLC PastSince Apr 1, 2022 Accepting new patients

Locations

1430 Gadsden Hwy
Ste 116917
Birmingham, AL 35235
Phone (208) 623-9050

2355 Mall Rd
Florence, AL 35630
Phone (208) 623-9050

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1629718374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17640 EASTMOOR ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112175",
            "telephone_number": "938-256-5534",
            "fax_number": "662-214-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 GADSDEN HWY STE 116-917",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353103",
            "telephone_number": "208-623-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22099 US Highway 72 Ste C",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356132670",
            "country_code": "US",
            "telephone_number": "938-256-5594",
            "fax_number": "662-214-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGES",
        "first_name": "RAVEN",
        "middle_name": "PARKER",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "894600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-172760",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1170153",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905241",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "36482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.