Active NPI
Kristi M Hodges
- Diagnostic Ultrasound Physician
- Summerville, SC
National Provider Identifier
1902590144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 138414
- Practice address
- 106 Tortoise St
Summerville, SC 29483-8989 - Phone
- (828) 231-7849
- NPI assigned
- Jun 8, 2023
- 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 |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 42459 | GA | |
| Diagnostic Ultrasound Physician | 2085U0001X | 138414 | TN | Primary |
Addresses
Primary practice location
106 Tortoise St
Summerville, SC 29483-8989
Mailing address
106 Tortoise St
Summerville, SC 29483-8989
Phone (828) 231-7849
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
| License | State | Type | Specialty |
|---|---|---|---|
| 138414 | TN | MD | Diagnostic Ultrasound Physician |
| 42459 | GA | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1902590144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 TORTOISE ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294838989",
"telephone_number": "828-231-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 TORTOISE ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294838989",
"telephone_number": "828-231-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "KRISTI",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "GA",
"license": "42459",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "TN",
"license": "138414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.