Active NPI
Rebecca Hodges, ARNP
- Gerontology Nurse Practitioner
- Hudson, FL
National Provider Identifier
1780128298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN9269846
- Practice address
- 13910 Lakeshore Blvd
Suite 130
Hudson, FL 34667-1481 - Phone
- (727) 862-5478
- NPI assigned
- Dec 19, 2016
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN9269846 | FL | Primary |
Addresses
Primary practice location
13910 Lakeshore Blvd
Suite 130
Hudson, FL 34667-1481
Mailing address
13910 Lakeshore Blvd
Suite 130
Hudson, FL 34667-1481
Phone (727) 862-5478
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9269846 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navnit U Patel MD PA | Past | Accepting new patients | |
| Jordan T Young MD, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1780128298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13910 LAKESHORE BLVD",
"address_2": "SUITE 130",
"city": "HUDSON",
"state": "FL",
"postal_code": "346671481",
"telephone_number": "727-862-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13910 LAKESHORE BLVD",
"address_2": "SUITE 130",
"city": "HUDSON",
"state": "FL",
"postal_code": "346671481",
"telephone_number": "727-862-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "REBECCA",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-19",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9269846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.