MRS. LAMONICA ANTONETTE HODGES FNP-C NPI 1336504513

NPI Information

NPI: 1336504513
Provider Name: MRS. LAMONICA ANTONETTE HODGES, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6040 N CAMELBACK MANOR DR
PARADISE VALLEY, AZ
ZIP 85253
Phone: (784) 532-9222
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MRS. Lamonica Antonette Hodges, FNP-C is a family nurse practitioner in Paradise Valley, AZ. MRS. Lamonica Antonette Hodges, FNP-C NPI is 1336504513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6040 N CAMELBACK MANOR DR
PARADISE VALLEY, AZ
ZIP 85253-148
Phone: (784) 532-9222
Fax: (866) 841-2587

The NPI 1336504513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2015 and was last updated on 11/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	242329	ARIZONA	Yes
2	363LF0000X	Nurse Practitioner	Family	901388	MISSISSIPPI	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09551264	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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