Samantha Lynn Hodgman

Key facts

NPI

1639655434

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

320727 (WI)

Practice address

5109 World Dairy Dr
Madison, WI 53718-3807

Phone

(608) 242-0220

NPI assigned

Jul 14, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other names

• Samantha Lynn Alarcon Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 14, 2018.

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1639655434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 JANA LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537047865",
            "telephone_number": "608-239-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 WORLD DAIRY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183807",
            "telephone_number": "608-242-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGMAN",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "320727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ALARCON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

• Amanda Hocking, LCSW
• Robert L Hodes, PHD
• Ellen Hodgdon, PHARMD
• Relayia Hodges
• Kathleen Ann Hodgkins, M.S.S.W.
• Allison Hodgson, DPT
• Alan Hodkiewicz, RPH
• Charles James Hodulik, MD
• Brian David Hoefer, MS, LAT, CSCS
• Daniel J. Hoefer, MD

All providers in Madison, WI · Licensed Practical Nurse in Wisconsin