TANYA RENEE HODGE (NPI# 1407998909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407998909 |
| Entity Type | Individual |
| Full Name | TANYA RENEE HODGE |
| Credential | ARNP |
| Practice Address |
235 W Airport Blvd Pensacola FL 32505-2239 |
| Mailing Address |
Po Box 3779 Pensacola FL 32516-3779 |
| Practice Telephone | 8508575200 |
| Mailing Telephone | 8505160486 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2631892 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2631892 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015171000 | 05 | |
| FL | BLUE CROSS - FL | Y7819 | 01 |
| FL | RAILROAD MEDICARE | P00833129 | 01 |
| Street Address |
235 W AIRPORT BLVD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32505-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790725596 | Op Pensacola, Inc. | Nursing Facility/Intermediate Care Facility | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2006-06-08 |
| 1609497726 | Primary Care of The Gulf Coast LLC | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2020-04-29 |
| 1295368645 | A Trusted Nurse Practitioner | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2020-02-13 |
| 1023674041 | Roxanne Nicole Bultron | Physical Therapy Assistant | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2019-05-15 |
| 1568924256 | Elizabeth Townleys Harmony Healthcare LLC | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2019-04-02 |
| 1750855615 | Hodge & Company LLC | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2019-01-14 |
| 1285113852 | Jude Alvin Velez | Physical Therapist | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2018-08-14 |
| 1457860611 | Rebecca Judkins | Occupational Therapist | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2017-09-20 |
| 1093251449 | Toni Hodson | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2017-01-10 |
| 1790148286 | Christopher Hyche | Occupational Therapist | 235 W Airport Blvd, Pensacola, FL 32505 | 2016-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203610 | Tekisha S Steele | Homemaker | 4503 Lemoyne Lane, Pensacola, FL 32505 | 2020-07-28 |
| 1225491269 | Darren Hohaus | Counselor | Florida Therapy Services, Inc., 6520 N. Pensacola Blvd., Office Park North, 2nd Building, Pensacola, FL 32505 | 2016-03-29 |
| 1881933091 | Elizabeth Anne Cremeans | Occupational Therapist | 325 W. Airport Blvd, Pensacola, FL 32505 | 2013-02-07 |
| 1134488596 | Daniel L Christensen | Orthopaedic Surgery | 6000 N W St # Us-98, Pensacola, FL 32505 | 2012-05-04 |
| 1447553128 | Stern Family Chiropractic, LLC | Chiropractor | 5505 North W Street, Pensacola, FL 32505 | 2010-12-17 |
| 1427270610 | Communnity Drug and Alcohol Council, Inc. | Community/Behavioral Health | 3804 North 9th Ave., Pensacola, FL 32505 | 2007-05-03 |
| 1497809594 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6810 N. Davis Highway, Pensacola, FL 32505 | 2007-01-23 |
| 1578658308 | James J Adams | Pharmacist | 5975 Mobile Highway, Pensacola, FL 32505 | 2006-10-04 |
| 1396838090 | Lieng Kim Du | General Practice | 907 North U Street, Pensacola, FL 32505 | 2006-10-02 |
| 1730280769 | Charles Edward Campbell IIi | Dentist | 151 W Airport Blvd, Pensacola, FL 32505 | 2006-09-25 |
| Find all providers in zip 32505 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470362 | Chanci Alford Mascelli | Nurse Practitioner | 1502 Creighton Rd, Pensacola, FL 32504-7143 | 2020-06-05 |
| 1477092211 | Kerry Powell | Nurse Practitioner | 5153 N 9th Ave Ste 404, Pensacola, FL 32504 | 2017-02-13 |
| 1215352026 | Cathy Mcgovern | Nurse Practitioner | 4600 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 | 2014-03-03 |
| 1396343323 | Tabitha Power | Nurse Practitioner | 4700 Bayou Blvd Ste 6, Pensacola, FL 32503-1901 | 2020-10-12 |
| 1467079970 | Kristina A Gallagher | Nurse Practitioner | 2120 E Johnson Ave, Pensacola, FL 32514-6036 | 2020-06-30 |
| 1144855958 | Nicole Chase Adams | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2020-03-12 |
| 1528693983 | Nancy Franklin | Nurse Practitioner | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-03-05 |
| 1447881404 | Monique Renee Wyche | Nurse Practitioner | 4901 Market Place Rd, Pensacola, FL 32504-8986 | 2020-01-29 |
| 1528613734 | Colby Keith Sullivan | Nurse Practitioner | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2019-08-05 |
| 1750940268 | Lauren Mary Myers | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-06-08 |
| Find all providers in PENSACOLA | ||||
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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.