{
"Npi": {
"NPI": "1023367455",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LUCY B HODGES RN FPNP PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1303 RIVER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENWOOD",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38930-4029",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-299-2809",
"MailingAddressFaxNumber": "662-453-3581",
"FirstLinePracticeLocationAddress": "1303 RIVER RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREENWOOD",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38930-4029",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-299-2809",
"PracticeLocationAddressFaxNumber": "662-453-3581",
"EnumerationDate": "08/30/2012",
"LastUpdateDate": "04/03/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HODGES",
"AuthorizedOfficialFirstName": "LUCY",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "FPNP",
"AuthorizedOfficialTelephoneNumber": "662-299-2809",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320600000X",
"TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
"LicenseNumber": "R537179",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}