AMY HODGES (NPI# 1194178376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194178376 |
Entity Type | Individual |
Full Name | AMY HODGES |
Credential | APRN, CPNP-PC |
Practice Address |
172 Highway 62 W Salem AR 72576-8059 |
Practice Telephone | 8708952735 |
Practice Fax Number | 8708952709 |
Mailing Telephone | 8708952735 |
Mailing Fax Number | 8708952709 |
Enumeration Date | 2016-07-22 |
Last Update Date | 2017-11-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A004837 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 215618758 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
1871945576 | Amy Marie Hodges | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2016-07-06 |
1588911135 | Amy Fisher Hodges | Counselor | 16350 Blanco Rd Ste 111, San Antonio, TX 78232-3301 | 2012-08-13 |
1295014728 | Amy Claire Hodges | Case Manager/Care Coordinator | 70 Batesville Blvd Ste 201, Batesville, AR 72501-8970 | 2011-08-15 |
1679918668 | Amy Hodges | Counselor | 1517 E Andrew Johnson Hwy, Morristown, TN 37814-5485 | 2013-05-03 |
1275840464 | Amy Hodges | Counselor | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2010-09-09 |
1508098336 | Amy Elizabeth Hodges | Speech-Language Pathologist | 409 W Locust St, Aurora, MO 65605-1422 | 2009-08-12 |
Street Address |
172 HIGHWAY 62 W |
City | SALEM |
State | AR |
Zip Code | 72576-8059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912431818 | 1st Choice Healthcare Inc | Clinic/Center | 172 Highway 62 W, Salem, AR 72576-8059 | 2017-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205476322 | Spring River Therapy | Occupational Therapy Assistant | 1323 Hwy 9 N, Salem, AR 72576 | 2020-01-07 |
1326691213 | Tiffany Jean Reed | Occupational Therapy Assistant | 115 Watters Street, Salem, AR 72576 | 2019-07-19 |
1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
1346790649 | Rebekah Alexander | Social Worker | 684 Highway 62 412, Salem, AR 72576 | 2016-10-11 |
1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
1144465485 | Jennifer Renee Innis | Physical Therapy Assistant | 679 North Main Street, Salem, AR 72576 | 2008-12-15 |
1922261890 | Fulton County Hospital | Clinic/Center | 673 North Main St, Salem, AR 72576 | 2008-07-09 |
1659573327 | Barbara Scott | Nurse Practitioner | 172 Highway 62 East, Salem, AR 72576 | 2007-06-04 |
1609995653 | Watch Care, LLC | Hospice Care, Community Based | 106 West Locust, Salem, AR 72576 | 2007-03-29 |
Find all providers in zip 72576 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114930583 | Ingrid Scott | Nurse Practitioner | 11 Forrester St, Salem, MA 01970-4001 | 2006-08-15 |
1376539783 | Joseph Lee Easley | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2005-09-21 |
1225490816 | Melissa J Kohnen | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2016-03-23 |
1982077251 | Courtney Joy Kennison | Nurse Practitioner | 891 23rd St Ne, Salem, OR 97301-1793 | 2015-11-08 |
1093123382 | Elizabeth Cullinan | Nurse Practitioner | 84 Highland Ave, Salem, MA 01970-2727 | 2014-07-30 |
1790196244 | Lori Landreth | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2014-05-17 |
1649554049 | Jessica Lyn Joaquin | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2011-10-04 |
1952682676 | Katharine Chamberlin | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2011-09-08 |
1619206356 | Samantha Gunawardene | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2009-12-09 |
1063544930 | Katrina Ellen Davis | Nurse Practitioner | 891 23rd St Ne, Salem, OR 97301 | 2007-03-09 |
Find all providers in SALEM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.