Active NPI
Lisa A. Hodgdon, M.S., CCC-SLP
- Speech-Language Pathologist
- Foxboro, MA
National Provider Identifier
1679724975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5312
- Practice address
- 17 Cocasset St
Foxboro, MA 02035-2948 - Phone
- (508) 698-3709
- Fax
- (508) 698-3785
- NPI assigned
- Oct 5, 2008
- 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 | 5312 | MA | Primary |
Addresses
Primary practice location
17 Cocasset St
Foxboro, MA 02035-2948
Mailing address
19 Home Park Ave
Hopedale, MA 01747-1805
Phone (508) 478-1099
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 |
|---|---|---|---|
| 5312 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223164800000",
"number": "1679724975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HOME PARK AVE",
"city": "HOPEDALE",
"state": "MA",
"postal_code": "017471805",
"telephone_number": "508-478-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 COCASSET ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020352948",
"telephone_number": "508-698-3709",
"fax_number": "508-698-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGDON",
"first_name": "LISA",
"middle_name": "A.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-05",
"last_updated": "2008-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "5312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foxboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.