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DIANE HODGE
NPI 1699449199
Dietitian, Registered - Nutrition, Metabolic in Prescott, AZ

Active since August 06, 2021
500 N US HIGHWAY 89, PRESCOTT, AZ 86313(928) 445-4860 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Diane Hodge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE HODGE (NPI 1699449199) is an individual nutrition, metabolic provider in Prescott, Arizona, licensed in Georgia (00800) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1699449199
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameDIANE HODGE
Location Address500 N US HIGHWAY 89Prescott, AZ 86313-5001
Mailing Address500 N Us Highway 89Prescott, AZ 86313-5001 · (928) 445-4860
Phone(928) 445-4860
Sole ProprietorNo
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1699449199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in GA · 00800
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
500 N US HIGHWAY 89, Prescott, AZ 86313
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Hodge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Diane Hodge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Fort Defiance Indian Hospital Board, Incorporation
210 mi
General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group
NPI 1477876639 (928) 729-8000
Southwest Atlanta Nephrology, PC
1,599 mi
Nephrology
3620 M L KING JR DR SW
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 9 clinicians in this Medicare group
NPI 1992756894 (404) 696-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KENNETH GEORGE FOURNIER LICSW
Social Worker (Clinical)
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 445-4860
CAROLYNN NELL PRITCHARD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 445-4860
HEIDI DELL LCSW
Social Worker (Clinical)
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 925-6180
HALEY RUTH OTR/L
Occupational Therapist
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (603) 731-4804
DR. WILLIAM R FLEMING M.D.
Emergency Medicine
500 N US HIGHWAY 89, NORTHERN ARIZONA VA HCS
PRESCOTT, AZ 86313
Yavapai County (928) 445-4860
ANGEL JOSE MENDEZ PHARMD
Pharmacist
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 445-4860
REBECCA HOWARD
Dental Hygienist
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 443-5432
JOHN DESJARLAIS
Specialist/Technologist, Pathology (Medical Technologist)
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (925) 445-4860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Hodge's NPI number?

The NPI number for Diane Hodge is 1699449199. It was assigned to this individual provider in the NPPES registry on August 6, 2021.

Where is Diane Hodge located?

Diane Hodge practices at 500 N Us Highway 89, Prescott, AZ 86313. The listed phone number is (928) 445-4860.

What is Diane Hodge's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Diane Hodge enrolled in Medicare?

Yes. Diane Hodge is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Diane Hodge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Hodge reassigns Medicare benefits to 2 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ) and Southwest Atlanta Nephrology, PC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diane Hodge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diane Hodge was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.