NPI Code Detail JSON Logo

1114236098 NPI number — SHIMEAKA DANIELLE-GARRETT HODGES PA-C

NPI Number: 1114236098
Health Care Provider/Practitioner: SHIMEAKA DANIELLE-GARRETT HODGES PA-C

Information about “1114236098” NPI (SHIMEAKA DANIELLE-GARRETT HODGES PA-C) exists in 1114236098 in HTML format HTML  |  1114236098 in plain Text format TXT  |  1114236098 in PDF (Portable Document Format) PDF  |  1114236098 in an XML format XML  formats.

NPI Number : 1114236098 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114236098",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HODGES",
    "FirstName": "SHIMEAKA",
    "MiddleName": "DANIELLE-GARRETT",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GARRETT",
    "OtherFirstName": "SHIMEAKA",
    "OtherMiddleName": "DANIELLE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "406 JAMES ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHAFTER",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93263",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-746-5788",
    "MailingAddressFaxNumber": "661-746-5273",
    "FirstLinePracticeLocationAddress": "406 JAMES ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHAFTER",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93263",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "661-746-5788",
    "PracticeLocationAddressFaxNumber": "661-746-5273",
    "EnumerationDate": "09/27/2010",
    "LastUpdateDate": "04/02/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "PA21174",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.