Active NPI
Carol Hodgson, NP
- Adult Health Nurse Practitioner
- Lovettsville, VA
National Provider Identifier
1780792473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024165054
- Practice address
- 11820 Berlin Tpke
Lovettsville, VA 20180-1830 - Phone
- (703) 431-1678
- Fax
- (540) 822-5030
- NPI assigned
- Aug 25, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024165054 | VA | Primary |
Addresses
Primary practice location
11820 Berlin Tpke
Lovettsville, VA 20180-1830
Mailing address
11820 Berlin Tpke
Lovettsville, VA 20180-1830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165054 | VA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rahel G. Yirga MD PC | Current | Accepting new patients |
Locations
6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756
20 Pidgeon Hill Dr
Ste 208
Sterling, VA 20165
Phone (703) 539-6029
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": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1780792473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 BERLIN TPKE",
"city": "LOVETTSVILLE",
"state": "VA",
"postal_code": "201801830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 BERLIN TPKE",
"city": "LOVETTSVILLE",
"state": "VA",
"postal_code": "201801830",
"telephone_number": "703-431-1678",
"fax_number": "540-822-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGSON",
"first_name": "CAROL",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024165054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lovettsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.