Active NPI
Jessica Lauren Hodges, APRN
- Pediatric Nurse Practitioner
- Riverview, FL
National Provider Identifier
1801229828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11048551
- Practice address
- 10729 Queens Town Dr
Riverview, FL 33579-7186 - Phone
- (813) 672-3497
- Fax
- (813) 741-2418
- NPI assigned
- Aug 13, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN11048551 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | R091928 | AR | |
| Registered Nurse | 163W00000X | R091928 | AR |
Addresses
Primary practice location
10729 Queens Town Dr
Riverview, FL 33579-7186
Mailing address
720 Brooker Creek Blvd Ste 215
Oldsmar, FL 34677-2937
Phone (501) 256-2028
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R091928 | AR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Health Care Alliance, PA | Past | Accepting new patients | |
| Pediatric Health Care Alliance, PA | Past | Accepting new patients | |
| Ascent Acquisitions Corp-PSC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Oldsmar, FL
- NPI 1609965441
-
- Pediatrics Physician
- Riverview, FL
- NPI 1831865609
-
- Speech-Language Pathologist
- North Little Rock, AR
- NPI 1336271659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1801229828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 BROOKER CREEK BLVD STE 215",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346772937",
"telephone_number": "501-256-2028",
"fax_number": "813-436-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10729 QUEENS TOWN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797186",
"telephone_number": "813-672-3497",
"fax_number": "813-741-2418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "JESSICA",
"middle_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11048551",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AR",
"license": "R091928",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R091928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.