Individual provider Active NPI

Dawn Renae Hodi, LMT

  • Specialist
  • Brown Deer, WI
National Provider Identifier
1699071829
Registry record updated Feb 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2513-146 Issued in WI
Practice address
5600 W Brown Deer Rd
Suite 208
Brown Deer, WI 53223-2311
Phone
(441) 480-7760
NPI assigned
Feb 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2513-146 WI Primary

Addresses

Primary practice location

5600 W Brown Deer Rd
Suite 208
Brown Deer, WI 53223-2311

Mailing address

2834 N 62ND St
Milwaukee, WI 53210-2117
Phone (414) 807-7609

Other identifiers 1

IdentifierTypeStateIssuer
2513-146OtherWISTATE OF WISCONSIN

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

State licenses

LicenseStateTypeSpecialty
2513-146WIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Therapeutic Massage, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296864000000",
    "number": "1699071829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 N 62ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102117",
            "telephone_number": "414-807-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W BROWN DEER RD",
            "address_2": "SUITE 208",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232311",
            "telephone_number": "441-480-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODI",
        "first_name": "DAWN",
        "middle_name": "RENAE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-05",
        "last_updated": "2011-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "2513-146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN",
            "identifier": "2513-146",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2011; 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.