Active NPI
Wanda Charlene Walker Hodges, CRNA
- Certified Registered Nurse Anesthetist
- Upper Marlboro, MD
National Provider Identifier
1811957947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 752
- Practice address
- 1304 Wigeon CT
Upper Marlboro, MD 20774-7083 - Phone
- (301) 218-2195
- NPI assigned
- Mar 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 752 | SC | Primary |
Addresses
Primary practice location
1304 Wigeon CT
Upper Marlboro, MD 20774-7083
Mailing address
1304 Wigeon CT
Upper Marlboro, MD 20774-7083
Phone (301) 218-2195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0722 | Medicaid | SC |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 752 | SC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health-Midlands | Past | Accepting new patients |
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.
-
dba Prisma Health Tuomey Hosptial
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1811957947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 WIGEON CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747083",
"telephone_number": "301-218-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 WIGEON CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747083",
"telephone_number": "301-218-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER HODGES",
"first_name": "WANDA",
"middle_name": "CHARLENE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0722",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.