Individual provider Active NPI

Grace Elaine Torres-Hodges, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Pensacola, FL
National Provider Identifier
1689612616
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO 2847 Issued in FL
Practice address
9400 University Pkwy
Suite 301
Pensacola, FL 32514-5752
Phone
(850) 478-8633
Fax
(850) 478-8579
NPI assigned
Jun 3, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO 2847 FL Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 240 AL
Foot & Ankle Surgery Podiatrist 213ES0103X PO 2847 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 240 AL

Addresses

Primary practice location

9400 University Pkwy
Suite 301
Pensacola, FL 32514-5752

Mailing address

9400 University Pkwy
Suite 301
Pensacola, FL 32514-5752
Phone (850) 478-8633

Other identifiers 4

IdentifierTypeStateIssuer
240OtherALALABAMA LICENSE NUMBER
65655OtherFLBLUE CROSS BLUE SHIELD FL
PO 2847OtherFLFLORIDA LICENSE NUMBER
519122001OtherFLMEDICARE DME SUPPLIER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689612616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "SUITE 301",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-478-8633",
            "fax_number": "850-478-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "SUITE 301",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-478-8633",
            "fax_number": "850-478-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-HODGES",
        "first_name": "GRACE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO 2847",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AL",
            "license": "240",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 2847",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA LICENSE NUMBER",
            "identifier": "240",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "65655",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "PO 2847",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME SUPPLIER #",
            "identifier": "519122001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.