Tielisha Chavannes Hodges, OWNER

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

License

H3228038264807 Issued in WI

Practice address

4608 N 18TH St
Milwaukee, WI 53209-6429

Phone

(414) 975-5106

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tielishas All Purpose Transportation Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1821820606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 N 18TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096429",
            "telephone_number": "414-975-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 N 18TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096429",
            "telephone_number": "414-975-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "TIELISHA",
        "middle_name": "CHAVANNES",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "WI",
            "license": "H3228038264807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIELISHAS ALL",
            "last_name": "TRANSPORTATION",
            "middle_name": "PURPOSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Hodge
• Hunter Douglas Hodge
• Michael Hodge
• Kelly L Hodges, MD
• Phlesia Ann Hodges, RN
• Brian David Hodgson, DDS
• Mark E Hodgson, MD
• Richard Hodgson, MD
• Zachary Hodgson
• Bennie Hodo

• Transportation Network Company in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Transportation Network Company in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.