Active NPI
Xochitl Hodgson, LPN
- Licensed Practical Nurse
- Hope, ID
National Provider Identifier
1740801364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN50215
- Practice address
- 28 Creekside LN
Hope, ID 83836-9641 - Phone
- (760) 644-9373
- NPI assigned
- May 5, 2020
- Last updated
- May 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN50215 | ID | Primary |
Addresses
Primary practice location
28 Creekside LN
Hope, ID 83836-9641
Mailing address
28 Creekside LN
Hope, ID 83836-9641
Phone (208) 264-8555
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 |
|---|---|---|---|
| PN50215 | ID | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1740801364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CREEKSIDE LN",
"city": "HOPE",
"state": "ID",
"postal_code": "838369641",
"telephone_number": "208-264-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CREEKSIDE LN",
"city": "HOPE",
"state": "ID",
"postal_code": "838369641",
"telephone_number": "760-644-9373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGSON",
"first_name": "XOCHITL",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "ID",
"license": "PN50215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hope, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.