Individual provider Active NPI

Tomeka Tarrelle Hodge

  • Peer Specialist
  • Cleveland Heights, OH
National Provider Identifier
1871083774
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
00562 Issued in OH
Practice address
3900 Parkdale Rd
Cleveland Heights, OH 44121-1621
Phone
(216) 727-5063
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 00562 OH Primary

Addresses

Primary practice location

3900 Parkdale Rd
Cleveland Heights, OH 44121-1621

Mailing address

600 Superior Ave E Ste 1300
Cleveland, OH 44114-2654
Phone (216) 727-5063

Other practice location 1

600 Superior Ave E Ste 1300
Cleveland, OH 44114-2654
Phone (216) 220-8774

Other identifiers 1

IdentifierTypeStateIssuer
00562MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
00562OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1871083774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUPERIOR AVE E STE 1300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142654",
            "telephone_number": "216-727-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PARKDALE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441211621",
            "telephone_number": "216-727-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Superior Ave E Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441142654",
            "country_code": "US",
            "telephone_number": "216-220-8774",
            "fax_number": "216-220-3204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "TOMEKA",
        "middle_name": "TARRELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "00562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00562",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.