Active NPI
Krista Hodne, MD
- Internal Medicine Physician
- Dundee, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301076560
- Practice address
- 119 Waterstradt Commerce Dr
Suite #1
Dundee, MI 48131-9695 - Phone
- (734) 529-6060
- NPI assigned
- Jul 15, 2006
- Last updated
- Apr 7, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301076560 | MI | Primary |
| Pediatrics Physician | 208000000X | 4301076560 | MI |
Addresses
Primary practice location
119 Waterstradt Commerce Dr
Suite #1
Dundee, MI 48131-9695
Mailing address
5301 E Huron River Dr
MC 69504
Ypsilanti, MI 48197-1051
Phone (734) 827-8883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Wisconsin School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6800 E Green Lake Way N
Suite 200
Seattle, WA 98115-5491
Phone (206) 524-5656
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Program PC | Current | Accepting new patients | |
| Emily Program P C | Current | Accepting new patients | |
| NFB PLLC | Current | Accepting new patients |
Locations
2265 Como Ave
Saint Paul, MN 55108
673 Woodland Square Loop SE
Ste 330
Olympia, WA 98503
Phone (415) 710-6689
1700 Westlake Ave N
Ste 700
Seattle, WA 98109
Phone (206) 283-2220
6800 E Green Lake Way N
Ste 200
Seattle, WA 98115
Phone (206) 524-5656
2020 E 29th Ave
Ste 200
Spokane, WA 99203
Phone (509) 252-1366
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Emily Program
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1154696698
-
dba The Emily Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Paul, MN
- NPI 1528165065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1851318216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 E HURON RIVER DR",
"address_2": "MC 69504",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971051",
"telephone_number": "734-827-8883",
"fax_number": "734-827-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 WATERSTRADT COMMERCE DR",
"address_2": "SUITE #1",
"city": "DUNDEE",
"state": "MI",
"postal_code": "481319695",
"telephone_number": "734-529-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODNE",
"first_name": "KRISTA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301076560",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301076560",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dundee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.