Active NPI
Jequita Hodges
- Chore Provider
- Detroit, MI
National Provider Identifier
1699535807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 9314 E Outer Dr
Detroit, MI 48213-4009 - Phone
- (248) 678-5147
- NPI assigned
- Mar 22, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | 1000-05 | ||
| Chore Provider | 372500000X | 000000000 | MI | |
| Chore Provider | 372500000X | MI | Primary |
Addresses
Primary practice location
9314 E Outer Dr
Detroit, MI 48213-4009
Mailing address
PO Box 3481
Highland Park, MI 48203-0481
Phone (248) 678-5147
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000000000 | MI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1699535807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3481",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482030481",
"telephone_number": "248-678-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9314 E OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482134009",
"telephone_number": "248-678-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "JEQUITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": "1000-05",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "MI",
"license": "000000000",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.